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CASE REPORT
Year : 2017  |  Volume : 29  |  Issue : 3  |  Page : 174-176

Successful endotracheal intubation with Trachway after failed fiber-optic manipulations in a patient with retropharyngeal cervical chordoma


1 Department of Anesthesiology, E-DA Hospital, Kaohsiung, Taiwan
2 Department of Anesthesiology, Chi Mei Medical Center, Tainan, Taiwan

Correspondence Address:
Kuo-Chuan Hung
Anesthesiology, Chi Mei Medical Center, 901, Chung-Hwa Road, Yung Kung District, Tainan
Taiwan
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/tcmj.tcmj_63_17

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A retropharyngeal mass may distort the airway anatomy and reduce the space available for manipulation of intubation devices. We encountered a patient with a cervical chordoma occupying the retropharyngeal space. Fiber-optic orotracheal intubation was attempted to secure the airway. Although the fiber-optic bronchoscope (FOB) was successfully placed into the trachea, the tracheal tube could not be passed through the glottis. An airway was then successfully established with the Trachway device, a video-assisted system with a rigid but malleable intubating stylet. In conclusion, although a FOB is commonly used to secure a difficult airway, the present case report demonstrates that fiber-optic intubation is not always successful. Video intubation devices with a rigid stylet (such as Trachway) may be helpful in patients with a cervical chordoma. We suggest this device be available as backup for patients with distorted airway anatomy.


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