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

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

J Contemp Brachytherapy. 2018 Dec;10(6):573-576

Authors: Ghaffar ZA, Chong SE, Tan KL, Appalanaido GK, Musa MY, Hussin HB, Jusoh N

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.

PMID: 30662482 [PubMed]

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