Mallampatti class 4 to class 1!!

Krishna, Rohith; Wali, Murugesh; Nataraj, Madagondapalli Srinivasan; Shenoy, Thrivikram

doi:10.4103/0970-9185.94918

Cited by 3 publications

(4 citation statements)

References 2 publications

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“…So we want to highlight the fact that it is necessary to identify the potential problems associated with a patient and consider different plan options and selection of an appropriate plan for successful airway management particularly in our scenario. The problems that may encountered in such a patient include difficult mask ventilation, difficult conventional laryngoscopy and intubation associated with risk of trauma and bleeding which may further provoke catastrophic situations [3,5,6,8]. Now various strategies have been described for difficult airway management particularly blind nasal intubation, fibre optic intubation or planned tracheostomy but blind nasal intubation requires expertise and also has risk of trauma and bleeding [4].…”

Section: Discussionmentioning

confidence: 99%

“…A plunging ranula is a salivary gland cyst which develops when the mucous extravasation extends through or around the mylohyoid muscle deep into the neck and presents with neck lump along with or without swelling over floor of mouth. The intraoral swelling may lead to difficult airway due to potential airway obstruction and thus challenging for an anaesthesiologist [1,2,4,8]. Various strategies have been described for difficult airway management in such a case but proper plan and selection of an appropriate technique are mandatory to avoid catastrophic situations during anaesthesia [4].…”

Section: Introductionmentioning

confidence: 99%

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Anaesthetic management in a case of large plunging ranula with difficult airway: A case report

Sethi

Jain

Khare

et al. 2017

Egyptian Journal of Anaesthesia

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Plunging ranula is a mucous retention cyst found on the floor of mouth which arises from the submandibular and sublingual salivary glands extending to lateral aspect of neck, which may often cause potential airway obstruction leading to difficulty in airway management. A forty year old female patient was admitted to our hospital with large, painless swelling in the floor of mouth extending to the lateral part of body of mandible and neck. This intraoral swelling distorted the normal airway anatomy thus making airway management difficult as the patient was planned for excision of swelling under general anaesthesia. So we present a case of successful management of a difficult airway by using awake fibre optic intubation in a patient posted for excision of a large plunging ranula under general anaesthesia.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Anaesthetic management in a case of large plunging ranula with difficult airway: A case report

Sethi

Jain

Khare

et al. 2017

Egyptian Journal of Anaesthesia

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“…Plunging ranulas are associated with or without oral swelling, can burrow into the submandibular, submental, retropharyngeal spaces, lateral aspect of the neck and upper mediastinum which may pose potential airway obstruction,[1] leading to difficulty in airway management.…”

Section: Introductionmentioning

confidence: 99%

“…Ranula is a retention cyst filled with mucous, occurring as a result of the blockage of the sublingual salivary gland or unnamed glands in the oral cavity. Plunging ranulas are associated with or without oral swelling, can burrow into the submandibular, submental, retropharyngeal spaces, lateral aspect of the neck and upper mediastinum which may pose potential airway obstruction,[ 1 ] leading to difficulty in airway management.…”

Section: Introductionmentioning

confidence: 99%

Anaesthetic management in a case of huge plunging ranula

et al. 2014

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Plunging ranula is a rare form of mucous retention cyst arising from submandibular and sublingual salivary glands, which may occasionally become huge occupying the whole of the floor of the mouth and extending into the neck, thus, restricting the neck movement as well as disfiguring the normal airway anatomy. Without fiberoptic assistance, blind or retrograde nasal intubation remains valuable choices in this type of situation. Here, we present a case of successful management of airway by blind nasal intubation in a patient posted for excision of a huge plunging ranula.

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Airway Management in Huge Ranula

Dwivedi

Mall

Ahmad

et al. 2021

Airway

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Airway management in the presence of a large intraoral swelling is always challenging. We report a young boy with a huge ranula occupying the entire oral cavity and protruding from the mouth. Our planned and strategic approach in a resource-limited setting included prior consultation with the ENT surgeon for aspiration of swelling if needed before intubation. Good topical airway anaesthesia followed by gentle videolaryngoscopy resulted in successful airway management.

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Mallampatti class 4 to class 1!!

Cited by 3 publications

References 2 publications

Anaesthetic management in a case of large plunging ranula with difficult airway: A case report

Anaesthetic management in a case of large plunging ranula with difficult airway: A case report

Anaesthetic management in a case of huge plunging ranula

Airway Management in Huge Ranula

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