TY - JOUR JO - Journal of Contemporary Brachytherapy SN - 1689-832X VL - 10 IS - 6 PY - 2018 ID - Ghaffar2018 TI - Brachytherapy of tongue carcinoma in a patient with difficult airway: anesthetic considerations AB - 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. AU - Ghaffar, Zainab Abdul AU - Chong, Soon Eu AU - Tan, Kok Leng AU - Appalanaido, Gokula Kumar AU - Musa, Muhamad Yusri AU - Hussin, Hasmah binti AU - Jusoh, Nurulhuda SP - 573 EP - 576 DA - 2018 DO - 10.5114/jcb.2018.79856 UR - http://dx.doi.org/10.5114/jcb.2018.79856 ER -