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An unusual cause of difficult intubation in a patient with a large cervical anterior osteophyte: a case report

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Abstract:

This report describes a case in which a large anterior osteophyte on the C2 and C3 vertebrae, due to ankylosing spondylitis, resulted in distortion of the anatomy of the upper airway and difficult intubation. Ankylosing spondylitis (AS) is a progressive inflammatory disease, characterized by stiffening of the joints and ligaments. Stiffness of the cervical spine, atlanto-occipital, temporomandibular and cricoarytenoid joints may cause difficult intubation ( 1). This report describes a case in which a large anterior osteophyte on the C2 and C3 vertebrae, associated with AS, resulted in distortion of the anatomy of the upper airway and difficult intubation.

Keywords: Ankylosing spondylitis; cervical osteophyte; tracheal intubation

Document Type: Research Article

DOI: http://dx.doi.org/10.1111/j.1399-6576.2005.00612.x

Affiliations: Department of Anesthesiology and Reanimation, Medical Faculty, Ataturk University, Erzurum, Turkey

Publication date: February 1, 2005

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