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ISSN: 1689-832X
Journal of Contemporary Brachytherapy
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6/2018
vol. 10
 
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abstract:
Case report

Brachytherapy of tongue carcinoma in a patient with difficult airway: anesthetic considerations

Zainab Abdul Ghaffar, Soon Eu Chong, Kok Leng Tan, Gokula Kumar Appalanaido, Muhamad Yusri Musa, Hasmah binti Hussin, Nurulhuda Jusoh

J Contemp Brachytherapy 2018; 10, 6: 573–576
Online publish date: 2018/11/23
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The practice of brachytherapy in unresectable tongue carcinoma is gaining popularity. However, this procedure poses specific anesthetic challenges, particularly challenges of airway sharing and a higher rate of difficult airway. We report a 74-year-old chronic smoker, chronic alcoholic with history of stroke, who had undergone brachytherapy for tongue carcinoma. Apart from a huge tongue tumor, he had an epiglottic mass but refused elective tracheostomy. This had led to a few critical states throughout the process of treatment, including a metabolic crisis due to thiamine deficiency and difficult airway crisis. To our best knowledge, there have been no reported case on a patient with vocal cord mass undergoing tongue brachytherapy. We hope sharing of this experience may aid the management of similar patients in future.
keywords:

anesthesia, brachytherapy, difficult airway, tongue carcinoma

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