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Exploring through the difficulties: Fiber optic laryngoscope in ameloblastoma patient

  • Hartman Intiarto Hardjo ,
  • Kun Arifi Abbas ,

Abstract

Link of Video Abstract: https://www.youtube.com/watch?v=RbKM6_lTk3k

 

Introduction: Ameloblastoma is a slow-growing but locally aggressive benign tumor in the jaw, commonly presenting with painless swelling. This study focuses on a case of a 57-year-old male with a massive ameloblastoma who underwent local excision and reconstruction surgery with nasal awake fiber optic laryngoscopy (FOL) intubation.

Case Presentation: The patient's pre-operative assessment included an evaluation of comorbidities, anesthetic considerations, and an awake FOL strategy. Awake intubation was chosen due to the patient's facial deformity and large mass, which hindered face mask ventilation and supraglottic airway use. Nasal intubation was performed with non-kinking endotracheal tube (ETT) and topical anesthesia. Post-operative care and extubation were carefully managed. The surgery, lasting 9.5 hours, included a right hemimandibulectomy and reconstruction using a reconstruction plate. Patient vitals remained stable during the procedure. The patient was successfully extubated, and post-operatively, they were mobilized to the recovery room. The patient's respiratory and hemodynamic parameters were within the acceptable range, and they were fully awake following the surgery.

Conclusion: This case demonstrates the successful management of a patient with a large ameloblastoma using awake nasal fiber optic laryngoscopy for intubation. Airway evaluation and choice of intubation method play a crucial role in ensuring the safety and success of the procedure in patients with difficult airways, especially when faced with tumors and potential complications.

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How to Cite

Hardjo, H. I., & Abbas, K. A. (2024). Exploring through the difficulties: Fiber optic laryngoscope in ameloblastoma patient. Bali Medical Journal, 13(1), 559–563. https://doi.org/10.15562/bmj.v13i1.5015

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Hartman Intiarto Hardjo
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Kun Arifi Abbas
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