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Unexpected difficult intubation due to lingual tonsillar hyperplasia in a thoracotomy patient: intubation with the double-lumen tube using stylet and fiberoptic bronchoscopy
Authors:Mehmet E. Orhan MD, Associate Professor, Alper G        k MD, Assistant Professor, Ali S&#x  zlan MD, Assistant Professor,Umur Dere MD, Staff Physician
Affiliation:aDepartment of Anesthesiology, Gülhane Military Medical Academy School of Medicine, Ankara, Turkey;bDepartment of Thoracic Surgery, Gülhane Military Medical Academy School of Medicine, Ankara, Turkey
Abstract:Lingual tonsillar hyperplasia is rare, and it may cause difficulty with tracheal intubation during induction of general anesthesia. A different orotracheal intubation technique was performed using a double-lumen endotracheal tube, flexible fiberoptic bronchoscope, and a stylet, in an unexpected difficult endobronchial intubation case due to massive lingual tonsillar hyperplasia.
Keywords:Anesthesia   Difficult airway   Difficult intubation   Double-lumen endotracheal tube   Fiberoptic bronchoscopy   Lingual tonsillar hyperplasia
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