Successful Airway Management Using Awake Videolaryngoscopy for a Rare Thyroid Cancer with Grade III Goitre and Intra-Tracheal Invasion

Özet

In the present report, we described a case of anticipated difficult intubation in which the access to airway was limited due to external and internalfactors. Our patient presented with a large goitre, shortness of breath and mild stridor. A clinical examination and investigations were performed.An intra-tracheal subglottic mass visible on a positron emission tomography scan was nearly occluding the lumen. The clinical diagnosis wasthyroid cancer with intra-tracheal invasion. For patients with a large thyroid cancer, airway management can be complicated, using both regionalinvasion and intrathoracic extension, due to the effect of the mass on the airway and major vessels. This approach has a great potential for leading to complete airway obstruction after the induction of general anaesthesia. Here, we aimed to discuss the meticulous planning and preparationfor the intubation of a conscious patient using different procedures of airway management, especially when the fibreoptic intubation failed andawake videolaryngoscopy salvaged the situation.