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Acta Anaesthesiol Scand · Feb 2005
Case ReportsAn unusual cause of difficult intubation in a patient with a large cervical anterior osteophyte: a case report.
- M Cesur, H A Alici, and A F Erdem.
- Department of Anesthesiology and Reanimation, Medical Faculty, Ataturk University, Erzurum, Turkey. mcesur@atauni.edu.tr
- Acta Anaesthesiol Scand. 2005 Feb 1;49(2):264-6.
AbstractThis report describes a case in which a large anterior osteophyte on the C2 and C3 vertebrae, due to ankylosing spondylitis, resulted in distortion of the anatomy of the upper airway and difficult intubation. Ankylosing spondylitis (AS) is a progressive inflammatory disease, characterized by stiffening of the joints and ligaments. Stiffness of the cervical spine, atlanto-occipital, temporomandibular and cricoarytenoid joints may cause difficult intubation (1). This report describes a case in which a large anterior osteophyte on the C2 and C3 vertebrae, associated with AS, resulted in distortion of the anatomy of the upper airway and difficult intubation.
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