Awake Fiberoptic Intubation for Segmental Mandibulectomy in a Patient with Follicular Ameloblastoma of the Anterior Mandible: A Case Report.
Noy Norman Kambuaya, Iwan Fuadi
✦ AI-curated · Sources linked
Case in brief
A 52-year-old male with a large anterior mandibular tumor underwent segmental mandibulectomy. Due to predicted difficult airway, awake fiberoptic intubation was performed using a flexible bronchoscope. Topical anesthesia was achieved with lidocaine, and sedation was provided with dexmedetomidine. The procedure was successful without desaturation, demonstrating effective airway management despite limited equipment.
What made this case unusual
The case illustrates the successful use of awake fiberoptic intubation in a challenging scenario without high-flow nasal oxygen, relying instead on low-flow nasal cannula for oxygenation.
Diagnostic / clinical pearl
Clinicians should consider awake fiberoptic intubation as a viable option for managing difficult airways, even when high-flow nasal oxygen is not available.
Why it matters
This case emphasizes the importance of adaptability in airway management techniques, particularly in resource-limited settings.