Virtual Laryngoscopy for Airway Management Planning in Patient with Diffuse Idiopathic Skeletal Hyperostosis

  • Liva Jasote (Speaker)
  • Matīss Briuks (Co-author)
  • Kazūne, S. (Co-author)
  • Aleksejs Miscuks (Co-author)
  • Iveta Golubovska (Co-author)

Activity: Talk or presentation types › Poster presentation

Description

Diffuse idiopathic skeletal hyperostosis (DISH) is associated with abnormal ossification of the anterolateral spine. DISH at cervical levels can make intubation difficult or impossible. We report a patient with cervical DISH who was admitted for unrelated lumbar hemilaminectomy. Preoperative radiographs of the cervical spine revealed previously undiagnosed cervical DISH with large C3-4 osteophyte at the level of laryngeal opening. In view of possible intubation difficulties, modified computed tomography scan was performed to use it for three dimentional reconstruction (virtual laryngoscopy). Virtual laryngoscopy images showed that satisfactory view of the larynx during videolaryngoscopy would be difficult, but passage of endotracheal tube at the level of obstruction is possible. During intubation videolaryngoscopic views corresponded with virtual laryngoscopy images. Successful intubation was achieved at first attempt using external laryngeal manipulation. In conclusion, virtual laryngoscopy can be useful for predicting videolaryngoscopic view but passage of endotracheal tube is better assessed with non-reconstructed images. . .. .. .
Period29 Mar 2023
Event titleRSU International Research Conference 2023: Knowledge for Use in Practice
Event typeConference
OrganiserRīga Stradiņš University
LocationRiga, LatviaShow on map
Degree of RecognitionInternational

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