Search Results

is likely that radiotherapy will be used more frequently for head and neck cancers. Consequently, the incidence of patients presenting with RT-induced laryngeal edema is expected to rise in the foreseeable future. Here, we report the anesthetic management of 3 cases involving laryngeal edema caused by RT for treating head and neck cancer. Written consent was obtained from each patient to publish this case series (cases 1-3). CASE PRESENTATION Case 1 A 70-year-old woman (height 147 cm, weight 69 kg, body mass index [BMI] 31.9 kg/m 2 ) was diagnosed with

. Laryngeal granuloma occurring after surgery for laryngeal cancer treated by surgical removal and immediate post-operative radiotherapy: a case report . Medicine (Baltimore) . 2019 ; 98 : e17345 . 10.  Kumai Y, Yumoto E, Nishimoto K, Minoda R

–79 years, and a mean age of 62.3. The primary disease was malignant tumor for 59 of the patients (95.2%), and benign tumor for 3 patients (4.8%) ( Table 1 ). Most of the patients were elderly with mild preoperative medical complications such as hypertension, diabetes and arrhythmia ( Table 2 ). There was no patient with ASA higher than 3 or Charlson comorbidity grade higher than 2 ( Table 3 ). Preoperative radiotherapy was performed in 35 patients (56.5%). Table 1 Primary disease Table

arteries, which were stable. He also reported a history of a cardiac arrhythmia. The patient had no known allergies and was taking rebamipide, a mucoprotective medication used for gastritis and gastric ulcer therapy. His past surgical history included surgery for oral cancer, cervical lymph node dissection, and radiotherapy, resulting in a limited mouth opening of 15 mm. Because of his significant trismus, the developed anesthetic plan included awake intubation. The patient was deemed an American Society of Anesthesiologists physical classification 3 status. At

cancer, including neck dissection and reconstruction with free flap under general anesthesia. Patients with airway malformations, pulmonary diseases, difficulties in neck flexion and/or extension, or previous radiotherapy were excluded from the study. The anesthetic plan was standardized for all patients and consisted of induction with propofol (1–2 mg/kg), fentanyl (2–4 μg/kg), remifentanil (0.1–0.25 μg/kg/min), atropine (0.01 mg/kg), rocuronium (0.6 mg/kg), and oxygen (6 L/min) with face mask after peripheral intravenous access was obtained. Cuffed, spiral