@Article{Ghaffar2018,
journal="Journal of Contemporary Brachytherapy",
issn="1689-832X",
volume="10",
number="6",
year="2018",
title="Brachytherapy of tongue carcinoma in a patient with difficult airway: anesthetic considerations",
abstract="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.",
author="Ghaffar, Zainab Abdul
and Chong, Soon Eu
and Tan, Kok Leng
and Appalanaido, Gokula Kumar
and Musa, Muhamad Yusri
and Hussin, Hasmah binti
and Jusoh, Nurulhuda",
pages="573--576",
doi="10.5114/jcb.2018.79856",
url="http://dx.doi.org/10.5114/jcb.2018.79856"
}