eISSN: 2081-2841
ISSN: 1689-832X
Journal of Contemporary Brachytherapy
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vol. 10
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.

anesthesia, brachytherapy, difficult airway, tongue carcinoma

Hegde JV, Demanes DJ, Veruttipong D et al. Head and neck cancer reirradiation with interstitial high-dose-rate brachytherapy. Head Neck 2018; 40: 1524-1533.
Skowronek J. Current status of brachytherapy in cancer treatment – short overview. J Contemp Brachytherapy 2017; 9: 581-589.
Khalilur R, Hayashi K, Shibuya H. Brachytherapy for tongue cancer in the very elderly is an alternative to external beam radiation. Br J Radiol 2011; 84: 747-749.
Chadha J, Hu KS, Jacobson A et al. The role of brachytherapy in treatment of oral tongue cancer. Int J Radiat Oncol Biol Phys 2016; 94: 890.
Ambasta S, Parida S, Rudingwa P, Mishra SK. Brachytherapy implant insertion in head-and-neck cancer: Results of anaesthetic technique at a tertiary care hospital. Indian J Anaesth 2018; 62: 470-472.
Juneja R, Lacey O. Anaesthesia for head and neck cancer surgery. Current Anaesthesia & Critical Care 2009; 20: 28-32.
Onishi H, Ishida M, Tanahashi I et al. Subclinical thiamine deficiency in patients with abdominal cancer. Palliat Support Care 2018; 16: 497-499.
Andrade JO, Santos CA, Oliveira MC. Associated factors with oral cancer: a study of case control in a population of the Brazil’s Northeast. Rev Bras Epidemiol 2015; 18: 894-905.
Nag S, Cano ER, Demanes DJ et al. The American Brachytherapy Society recommendations for high-dose-rate brachytherapy for head-and-neck carcinoma. Int J Radiat Oncol Biol Phys 2001; 50: 1190-1198.
Kovács G, Martinez-Monge R, Budrukkar A et al. GEC-ESTRO ACROP recommendations for head & neck brachytherapy in squamous cell carcinomas: 1st update – Improvement by cross sectional imaging based treatment planning and stepping source technology. Radiother Oncol 2017; 122: 248-254.
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