Anestesia em paciente com mioepitelioma em palato duro utilizando nasofibroscopia

Abstract

Myoepithelioma is a quite rare myoepithelial cell tumor, of a benign nature. Depending on its size and location, it may lead the patient to have criteria for a difficult airway. Objective: to report the case of a patient with a difficult airway due the presence of a myopephelioma in the hard palate region, this way showing the importance of a good anesthetic planning in the face of difficult airways, obtaining it in a definitive and safe way. Method and theoretical basis: For the achievement of the procedure, a previous evaluation of the airway was executed through laryngoscopy, after superior and recurrent laryngeal nerve blocks, followed by definitive nasofibroscopy, considered the gold standard method for difficult airway management. Having as theoretical basis a set of papers related to the subject, such as: Lukte Claudia, Robin Stackhouse, Jeffrey L. Apfelbaum, Carin A. Hagberg, C. Frerk, V.S. Mitchell. Results: Appropriate anesthetic planning through the evaluation and careful approach, with appropriate techniques and materials, of the airway in a patient with difficult airway, as in the case reported above, tends to reach the expected positive result. In the case reported, the patient was evaluated and subsequently underwent general anestesia, the nasotracheal intubation happening without adverse events reports, the surgical procedure also following without any incidents.Keywords: Difficult air route; Myoepithelioma; Anesthesia.