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conferenceseries.com
Volume 6, Issue 9 (Suppl) Dentistry 2016
ISSN: 2161-1122 Dentistry, an open access journal Euro Dental Congress 2016
October 24-26, 2016
October 24-26, 2016 Rome, Italy
15th Euro Congress on
Dental & Oral Health
Anum Aijaz, Dentistry 2016, 6:9 (Suppl)
Airway management in post chemoradiotherapy head & neck cancer patients presenting for dental
procedures inambulatory setting – case series
Anum Aijaz
Aga Khan University Hospital
Introduction: A wide range of potentially debilitating dental complications may occur as a consequence of postoperative
chemoradiotherapy such as oral mucositis, dental caries, trismus and osteoradionecrosis of the mandible with the dead bone exposed
and liable to infection or even pathological fracture. Dental complications of chemoradiation in head and neck cancer patients often
require surgical treatment under general anaesthesia. Patients usually scheduled as day care basis that warrants early discharge.
Most of these have very limited mouth opening or distorted anatomy of face as a result of previous surgery and radiation. Airway
management remains central to perioperative care.
Case series: Five patients scheduled for dental procedures under general anaesthesia were selected. The selected patients were
identified on preoperative assessment at an increased risk of difficult airway and fiberoptic intubation was planned. Awake fiberoptic
intubation was done in two patients while three were intubated after inducing general anaesthesia. Regional anaesthesia of airway was
achieved with lignocaine 4% nebulization and spray as you go technique. The other three patients were selected for asleep fiberoptic
intubation based on the fact that they have no anatomical distortion that create problems with bag mask ventilation and no signs of
airway obstruction. All patients underwent 30-45 minutes dental procedures. Patients were extubated and discharged after 1 hour
from recovery room and 3 hours after day care ward. No postoperative problems related to airway management were encountered.
Conclusion: Increasing number of these patients present to us for dental extractions and restorative procedures under general
anaesthesia as day care procedures. Present case series highlights some important aspects regarding management of anticipated
difficult airways in ambulatory setting.
Biography
Dr. Anum Aijaz has completed her BDS in 2011 December from Liaquat University of Medical and Health Sciences, Jamshoro Hyderabad and has been currently
working as a Dental/Medical Officer in Aga Khan University, Karachi.