Anesthetic management for emergency tracheostomy in patients with head and neck cancer: a case series
김시영, 조성지, 유승화,
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김시영 ( Kim Ci-Young ) - Seoul National University School of Dentistry Department of Oral and Maxillofacial Surgery
조성지 ( Cho Seong-Ji ) - Seoul National University School of Dentistry Department of Oral and Maxillofacial Surgery
유승화 ( Ryoo Seung-Hwa ) - Seoul National University School of Dentistry Department of Dental Anesthesiology
Abstract
Tracheostomy is a surgical procedure that is commonly used to treat upper airway obstruction. In particular, patients with head and neck cancer may require elective or emergency tracheostomy because of airway obstruction due to massive bleeding of the intraoral tumor mass and rapid growth of the tumor mass in the neck area. Here, we report four cases of tracheostomy in patients with head and neck cancer with narrowed airway space and difficulty in breathing. Based on these cases and a literature review, we recommend that oral and maxillofacial surgeons and dental anesthesiologists should cooperate closely and determine the appropriate timing to perform definitive airway management for such patients during palliative treatment, along with continuous evaluation of tumor location, risk of recurrence, and airway involvement.
키워드
Airway Management; Airway Obstruction; Emergencies; Head and Neck Neoplasms; Tracheostomy
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