E-ISSN 2602-4837
Transtracheal high-frequency jet ventilation in a patient with limited mouth opening for endolaryngeal surgery: A case report [Tr-ENT]
Tr-ENT. 2018; 28(3): 141-144 | DOI: 10.5606/Tr-ENT.2018.22932

Transtracheal high-frequency jet ventilation in a patient with limited mouth opening for endolaryngeal surgery: A case report

Demet Altun1, Ozge Kilic1, Can Doruk2, Ali Emre Camci1
1Department of Anesthesiology and Reanimation, İstanbul University, İstanbul Faculty of Medicine, İstanbul, Turkey
2Department of Otolaryngology, Head and Neck Surgery, İstanbul University, İstanbul Faculty of Medicine, İstanbul, Turkey

In this article, we report a case describing the airway management and anesthetic technique of a 47-year-old male patient undergoing endolaryngeal surgery with extremely limited mouth opening due to previous maxillofacial trauma. An excisional biopsy was planned after laryngoscopic examination for a possible pathological right vocal cord irregularity. Anterior open laryngofissure approach under transtracheal high-frequency jet ventilation was performed after reviewing all possibilities. Neither direct laryngoscopy nor any endolaryngeal instrument placement was possible in this case. This approach was considered the most preferable choice to provide an unobstructed surgical field and safe gas exchange without requiring additional invasive procedure.

Keywords: Difficult airway, laryngofissure approach, transtracheal high-frequency jet ventilation.

Demet Altun, Ozge Kilic, Can Doruk, Ali Emre Camci. Transtracheal high-frequency jet ventilation in a patient with limited mouth opening for endolaryngeal surgery: A case report. Tr-ENT. 2018; 28(3): 141-144

Corresponding Author: Can Doruk, Türkiye
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