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The usefulness of the videolaryngoscope for the diagnosis of an unknown epiglottic tumor

Benítez-Jiménez, Mercedes; Rodríguez-Navarro, María Ángeles; González-Pérez, Petra; Díaz-Alejo, Clara; Alcaraz-Martínez, Ana Belén; Sánchez-Ródenas, Lorenzo

Colombian Journal of Anesthesiology: January-March 2019 - Volume 47 - Issue 1 - p 69–70
doi: 10.1097/CJ9.0000000000000089
Spanish Version

Anesthesia and Pain Department, Hospital General Universitario J.M. Morales Meseguer, Murcia, Spain.

Correspondence: Anesthesia and Pain Department, Hospital General Universitario J.M. Morales Meseguer, Calle Marqués de los Vélez, Murcia 30009, Spain. E-mail:

How to cite this article: Benítez-Jiménez M, Rodríguez-Navarro MA, González-Pérez P, Díaz-Alejo C, Alcaraz-Martínez AB, Sánchez-Ródenas L. The usefulness of the videolaryngoscope for the diagnosis of an unknown epiglottic tumor. Rev Colomb Anestesiol. 2018;00:000–000.

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The contribution of video-laryngoscopy to improving the process of orotracheal intubation has been shown if various publications emphasizing an improved and better quality vision of the mouth and the larynx; it is extremely valuable for teaching purposes and is part of the algorithm for the intubation of a predicted difficult airway.1,2

This article discusses the case of a 54-year-old patient admitted to the emergency OR for surgery of an ascending colon neoplasm and secondary intestinal obstruction. The patient has a history of smoking 10 packs/year, criteria consistent with chronic bronchial disease, and hepatitis C.

In the light of the risk of bronchoaspiration, induction, and rapid sequence intubation were conducted uneventfully. During the laryngoscopy with a Macintosh, an epiglottic mass was identified. Following the intubation and the tracheal pneumo-tamponade, we conducted a second laryngoscopy using a video laryngoscope Glidescope Titanium (Verathon Medical Bothell, WA, USA), which clearly revealed an epiglottic tumor.

After obtaining the consent of a family member, the planned hemicolectomy was conducted, in addition to a resection through laryngeal microsurgery and a biopsy of the epiglottic tumor identified (0.75 cm) (Fig. 1A and B).

Figure 1

Figure 1

Several papers argue that the total time elapsed during intubation and isolation of the airway is longer with the use of the video-laryngoscope versus the routine laryngoscopy, when the operator is still in the learning curve2; this is why the laryngoscope was used.

The use of video-laryngoscopes—Glidescope, King Vision—initially designed to facilitate orotracheal intubation, is very frequent in the algorithm for managing a difficult airway,3 in addition to a very exciting application in oropharyngeal surgery.4 Furthermore, we find that the device allows for an easy and minimally invasive exploration as compared against laryngoscopy using a rigid laryngoscope, as illustrated in our case in which the problem was solved in the same surgical-anesthetic procedure.

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Ethical disclosures

Protection of persons and animals: The authors claim that no experiments in humans or animals were conducted for this research.

Confidentiality of the information: The authors declare that they followed the protocols of their workplace with regard to disclosure of patient data.

Right to privacy and informed consent: The authors declare that this article does not disclose any patient information.

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Author's own resources.

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Conflicts of interest

Authors declare no conflicts of interest implied in the writing of this manuscript.

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1. Griesdale DE, Liu D, McKinney J, et al Glidescope® video-laryngoscopy versus direct laryngoscopy for endotracheal intubation: a systematic review and meta-analysis. Can J Anaesth 2012;59:41–52.
2. Lewis SR, Butler AR, Parker J, et al Videolaryngoscopy versus direct laryngoscopy for adult patients requiring tracheal intubation. Cochrane Database Syst Rev 2016;11:CD011136.
3. España Fuente L, De la Rica Fernández P, González González JL. Use of King Vision® videolaryngoscope in an unanticipated difficult airway in an adult patient with giant vallecular cyst, a case report. Rev Esp Reanim 2017;64:61–67.
4. Bruno E, Dauri M, Mauramati S, et al Utility of glidescope videolaryngoscopy in surgical procedures involving the larynx. Acta Otorhinolaryngol Ital 2015;35:45–48.

Airway Management; Laryngoscopy; Epiglottis; Laryngeal Neoplasms; Intubation; Manejo de la vía aérea; Laringoscopía; Epiglotis; Neoplasias Laríngeas; Intubación

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