Abstract Background Submental intubation is an airway management technique wherein endotracheal tube guided through incisions in the floor of mouth and submental skin after normal orotracheal intubation. Case presentation A 20‐year‐old man with a history pharyngeal flap construction for cleft palate was planned orthognathic surgery. Preoperative nasopharyngoscopy showed that space lateral to to...

Scenario #1 A 60-year-old male found unresponsive for roughly 10 hours at his home was brought to the emergency department. A head computer tomography (CT) revealed an ischemic stroke affecting the right middle cerebral artery. He was subsequently admitted to the neurology service and underwent a swallow study, which revealed pharyngeal motor dysfunction and a delay in swallow initiation leadin...

Percutaneous endoscopic gastrostomy (PEG) is a widely used method for tube feeding with enteral nutrition. Both PEG's insertion and PEG's removal are usually easy and uncomplicated. The latter can be, however, of substantial difficulty in children with distorted anatomy, such as pharyngeal stenosis or endured craniofacial trauma, when regular endoscopy is contraindicated. The aim of the study w...

A 72-year-old gentleman presented to the hospital with progressively worsening dysphagia to soft foods and liquids. He was diagnosed with severe pharyngeal dysphagia by modified barium swallow. A CT scan of the neck with IV contrast showed anterior flowing of bridging osteophytes from C3-C6, indicative of DISH, resulting in esophageal impingement. He underwent resection of the DISH segments. Fo...

Lung separation techniques in the morbidly obese patient undergoing thoracic or esophageal surgery may be at risk of complications during airway management. Access to the airway in the obese patient can be a challenge because they have altered airway anatomy, including a short and redundant neck, limited neck extension and accumulation of fat deposition in the pharyngeal wall contributing to di...

Management of difficult tracheal intubation has been facilitated by different techniques which include the use of stylets, introducers, intubating laryngeal mask airway, as well as by the development of special laryngoscope blades and fiberoptic laryngoscopes. The most recent advances for facilitation of difficult tracheal intubation is the introduction of the video-assisted laryngoscopes. The ...

A preliminary report is presented of a technique for using the C-MAC videolaryngoscope to carry out nasopharyngeal intubations. The main thrust of the technique is that cuff inflation of the endotracheal tube is used to lift the endotracheal tube off the posterior pharyngeal wall and thus direct it towards the glottis. The technique was used successfully in 5 consecutive patients needing nasotr...

Tracheostomy tubes are used to administer positive-pressure ventilation, to provide a patent airway, to provide protection from aspiration, and to provide access to the lower respiratory tract for airway clearance. They are available in a variety of sizes and styles, from several manufacturers. The dimensions of tracheostomy tubes are given by their inner diameter, outer diameter, length, and c...

There are 3 different pharynxes (Figure 1). The nasopharynx, or velopharynx, is the airspace posterior to all of the soft palate; the oropharynx is the airspace posterior to the tip of the uvula to the tip of the epiglottis; and the laryngopharynx, or hypopharynx, is the airspace posterior to the tip of the epiglottis to the vocal cords. The adult human is one of only a few animals to have a sp...