Editorial Type:
Article Category: Research Article
 | 
Online Publication Date: Jan 01, 2018

A Case of General Anesthesia for a Young Infant in Whom Intubation Was Suspected to Be Difficult Because of a Thyrolingual Cyst

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Page Range: 127 – 128
DOI: 10.2344/anpr-65-02-04
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This is a case report of an infant who underwent thyrolingual cystectomy under general anesthesia. Two tracheal tubes were used: 1 for nasopharyngeal airway and the other for fiberoptic intubation. With this method, nasal intubation was successfully performed without hypoxia and hypercapnia even in a 3-month-old infant. We concluded this is a useful intubation method for infants who are predicted to be a difficult intubation.

Keywords: Thyrolingual cyst; Infant; Difficult intubation; Nasopharyngeal ventilation; Nasal fiberoptic intubation
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Copyright: © 2018 by the American Dental Society of Anesthesiology
<bold>Figure 1.</bold>
Figure 1.

Preoperative pharyngeal fiberoptic view. Epiglottis is pressed over the larynx by the thyrolingual cyst (↑).

<bold>Figure 2.</bold>
Figure 2.

A magnetic resonance image (T2) of the pharynx. A thyrolingual cyst (↑) is recognized in the base of the tongue.

Contributor Notes

Address correspondence to Tomoyasu Noguchi, DDS, Department of Dental Anesthesiology, Tokyo Dental College, 2-9-18, Misaiki-cho, Chiyoda-ku, Tokyo,101-0061, Japan; noguchit@tdc.ac.jp.
Received: Nov 17, 2014
Accepted: Feb 27, 2015