Airway Management in a Patient With Acromegaly Undergoing Transsphenoidal Pituitary Macroadenoma Resection: A Case Report
DOI:
https://doi.org/10.64252/ydn56g35Keywords:
Acromegaly, difficult airway, pituitary adenoma, video laryngoscopy, anesthetic management, bougie, macroglossiaAbstract
Background:
Airway management in patients with acromegaly presents a unique challenge due to anatomical changes caused by excess growth hormone. These include macroglossia, prognathism, and soft tissue hypertrophy, which can make both mask ventilation and intubation difficult. Pituitary adenomas, often responsible for acromegaly, require neurosurgical excision under general anesthesia, thereby necessitating a clear airway strategy.
Case report:
We present a 71-year-old male with pituitary macroadenoma, and clinical features of acromegaly scheduled for transsphenoidal resection. Preoperative assessment indicated a high risk of difficult intubation. Induction was performed with fentanyl, propofol, and succinylcholine, and intubation was achieved using a video laryngoscope with bougie assistance.
Conclusion:
This case highlights the importance of detailed airway evaluation and the benefits of advanced tools like video laryngoscopy in the anesthetic care of patients with endocrine disorders affecting airway anatomy. Interdisciplinary coordination and preparedness are essential for patient safety and successful surgical outcomes.
