caa a22 4500 44537473X CHVBK 20180317142959.0 cr unu---uuuuu 170323e20110401xx s 000 0 eng 10.1007/s00540-011-1094-7 doi (NATIONALLICENCE)springer-10.1007/s00540-011-1094-7 Epiglottic prolapse induced by lighted stylet tracheal intubation [Elektronische Daten] [Naoyuki Ikegami, Aya Kikuchi, Sunao Tamai] We report a case of epiglottic prolapse induced by lighted stylet tracheal intubation perceived by following upper gastrointestinal endoscopy. A 68-year-old male was to undergo endoscopic mucosal resection (EMR) under general anesthesia for a superficial orolarynx cancer spreading over the root of the tongue. Because the mucosal change was so minimal, intubation was performed with a lighted stylet instead of a direct laryngoscope, to prevent its metal blade spoiling the delicate endoscopic findings. After intubation, endoscopy revealed that the epiglottis folded down completely into the laryngeal vestibule. Immediate extubation with a ventilating tube exchanger failed to turn the entrapped epiglottis back to normal, and the inlet of the larynx remained obstructed. After reintubation, the epiglottis was restored to its normal position with endoscopic forceps. The postoperative course was uneventful and he was discharged on the sixth postoperative day. Retrospective evaluation of preoperative gastrointestinal endoscopy showed the epiglottis was flat and thin enough to have a tendency to become attached to the posterior pharynx wall, even though the procedure was performed in the decubitus position. Epiglottic prolapse induced by lighted stylet tracheal intubation is a quite rare complication but we should be aware of it as a potential injury which could cause upper airway obstruction if not recognized before extubation. Japanese Society of Anesthesiologists, 2011 Lighted stylet nationallicence Trachlight nationallicence Tracheal intubation nationallicence Epiglottic prolapse nationallicence Ikegami Naoyuki Department of Anesthesiology, Shizuoka Cancer Center, 1007 Shimonagakubo, Nagaizumi-cho, Suntoh-gun, 411-8777, Shizuoka, Japan aut Kikuchi Aya Department of Anesthesiology, Shizuoka Cancer Center, 1007 Shimonagakubo, Nagaizumi-cho, Suntoh-gun, 411-8777, Shizuoka, Japan aut Tamai Sunao Department of Anesthesiology, Shizuoka Cancer Center, 1007 Shimonagakubo, Nagaizumi-cho, Suntoh-gun, 411-8777, Shizuoka, Japan aut Journal of Anesthesia Springer Japan 25/2(2011-04-01), 294-297 0913-8668 25:2<294 2011 25 540 https://doi.org/10.1007/s00540-011-1094-7 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00540-011-1094-7 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Ikegami Naoyuki Department of Anesthesiology, Shizuoka Cancer Center, 1007 Shimonagakubo, Nagaizumi-cho, Suntoh-gun, 411-8777, Shizuoka, Japan aut NATIONALLICENCE 700 1- Kikuchi Aya Department of Anesthesiology, Shizuoka Cancer Center, 1007 Shimonagakubo, Nagaizumi-cho, Suntoh-gun, 411-8777, Shizuoka, Japan aut NATIONALLICENCE 700 1- Tamai Sunao Department of Anesthesiology, Shizuoka Cancer Center, 1007 Shimonagakubo, Nagaizumi-cho, Suntoh-gun, 411-8777, Shizuoka, Japan aut NATIONALLICENCE 773 0- Journal of Anesthesia Springer Japan 25/2(2011-04-01), 294-297 0913-8668 25:2<294 2011 25 540 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer