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TÜRKÇE
Poster - 14
Retrograde tracheal intubation for a giant fetal neck mass
MM Urquizo Lino, J Camacho
Department of Pediatric Surgery, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina
We describe 35 years old patient with polyhydramnios and prenatal diagnosis of a 9 cm multicystic neck tumor with a significant airway displacement
At 34 weeks of gestation there was a preterm labor. We started an emergency EXIT procedure with an Endoscopic airway assessment. The oral anatomy was deformed and the airway closed so an emergency surgical approach was performed.
We dissected the tumor and we exposed the trachea. The tracheostomy was not an option due to the position and shape of the tumor so a retrograde intubation through the tumor was done.
Endoscopic assessment of cervical masses is mandatory to evaluate if antegrade intubation is possible, saving valuable EXIT time. If the Bronchoscopy shows a total collapsed airway and the tracheostomy is not possible, retrograde intubation is a quick and easy alternative.