TY - JOUR
T1 - Recurrent head and neck tumors in the setting of previous reconstructive surgery and radiation
AU - Hyman, Jaime B.
AU - Khadge, Shradha D.
AU - Kinberg, Eliezer
AU - Miles, Brett
AU - Levine, Adam
N1 - Publisher Copyright:
© 2020
PY - 2020/6
Y1 - 2020/6
N2 - The approach to a difficult airway in patients presenting with recurrent head and neck tumors in the setting of previous surgery or radiation poses challenges to both anesthesiologists and otolaryngologists. Multidisciplinary planning with close communication is required for effective and safe care. It is critical to understand how each patient's prior surgery and radiation distorts the baseline airway anatomy and what complications may arise when deciding on the primary airway management and back-up plans. Preoperative imaging, flexible laryngoscopy, and airway ultrasound may be incorporated into the decision-making process in addition to the traditional airway exam. While awake airway management techniques will be very common in this patient population, anticipating potential problems, back-up planning, flexibility, and teamwork are essential for optimal patient outcomes. This article will review the common challenges encountered during airway management in this population.
AB - The approach to a difficult airway in patients presenting with recurrent head and neck tumors in the setting of previous surgery or radiation poses challenges to both anesthesiologists and otolaryngologists. Multidisciplinary planning with close communication is required for effective and safe care. It is critical to understand how each patient's prior surgery and radiation distorts the baseline airway anatomy and what complications may arise when deciding on the primary airway management and back-up plans. Preoperative imaging, flexible laryngoscopy, and airway ultrasound may be incorporated into the decision-making process in addition to the traditional airway exam. While awake airway management techniques will be very common in this patient population, anticipating potential problems, back-up planning, flexibility, and teamwork are essential for optimal patient outcomes. This article will review the common challenges encountered during airway management in this population.
KW - Difficult airway management
KW - Head and neck radiation
KW - Reconstructive surgery
KW - Recurrent head and neck tumors
UR - http://www.scopus.com/inward/record.url?scp=85084496286&partnerID=8YFLogxK
U2 - 10.1016/j.otot.2020.04.013
DO - 10.1016/j.otot.2020.04.013
M3 - Article
AN - SCOPUS:85084496286
SN - 1043-1810
VL - 31
SP - 161
EP - 174
JO - Operative Techniques in Otolaryngology - Head and Neck Surgery
JF - Operative Techniques in Otolaryngology - Head and Neck Surgery
IS - 2
ER -