An Approach to an Anticipated Difficult Airway in a Patient with a Periglottic Mass: A Case Report

Abstract

Rationale: Dealing with patients with periglottic masses is very challenging to anaesthesiologist and there is an overall lack of knowledge and guidelines. Patient concerns: A 79-year-old man with the complaint of hoarseness of voice who presented for micro laryngoscopy and excision of a laryngeal mass under general anaesthesia. He had a preoperative fibreoptic laryngoscopy which revealed a 3-4 cm sized right vocal cord mass. Diagnosis: preoperative fibreoptic laryngoscopy revealed a large vocal cord mass obstructing the laryngeal inlet. Interventions: Intubation was facilitated by glide scope video laryngoscope and micro laryngeal endotracheal tube (MLT). Outcomes: the mass was excised, and the patient was successfully extubated. Lessons: the importance of this case report lies in the unique challenges we faced and the significance of the multidisciplinary team care