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- Akiko Satoi, Kohei Murao, Shoko Inoue, Tomoko Kambara, Sachiko Jomura, Midori Nakao, and Koh Shingu.
- Department of Anesthesiology, Saiseikai Ibaraki Hospital, Osaka 567-0035.
- Masui. 2009 Aug 1;58(8):1028-31.
AbstractA 26-year-old man was scheduled for surgical extraction of a large epiglottic cyst. Mask ventilation was possible under propofol anesthesia without muscle relaxant. It was difficult to see the glottis using either a Macintosh laryngoscope or by fiberoptic bronchoscopy. When the AWS laryngoscope (Hoya, Tokyo Japan) with a part of the blade removed, was inserted orally, it became possible to see the glottis with a part of the epiglottic cyst. A reinforced tube was inserted nasally, and a fiberoptic bronchoscope was passed through the tube into the trachea. The tube was then passed over the fiberscope into the trachea. We believe that the Pentax AWS laryngoscope may lift the epiglottis and its cyst atraumatically, and may facilitate nasal fiberoptic intubation in a patient with a large epiglottic cyst.
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