{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T15:23:35Z","timestamp":1787757815633,"version":"build-2784847793"},"reference-count":6,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:p>A 77-year-old man with laryngeal cancer was scheduled for total laryngectomy and lymph node dissection surgery under general anesthesia. The patient did not present with airway obstruction signs, including dyspnea or wheezing sounds during spontaneous respiration, and the laryngeal opening could be easily identified on the fiberoptic bronchoscope examination preoperatively. Due to his poor cognition and cooperation, we decided not to try awake fiberoptic intubation. During the induction of general anesthesia, total airway obstruction occurred a few minutes after muscle relaxation. The patient could not be ventilated by mask ventilation; nevertheless, tracheal intubation using a conventional laryngoscope was performed without difficulty. It turned out that even a laryngeal mass that does not cause obstructive symptoms, not large in size or totally blocking the airway, can cause difficulty in mask ventilation.<\/jats:p>","DOI":"10.4103\/sja.sja_601_21","type":"journal-article","created":{"date-parts":[[2022,1,4]],"date-time":"2022-01-04T11:41:25Z","timestamp":1641296485000},"page":"117-119","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":4,"title":["Laryngeal mass induced severe ventilatory impairment during induction of anesthesia"],"prefix":"10.4103","volume":"16","author":[{"given":"Jeongeun","family":"Kim","sequence":"first","affiliation":[{"name":"Department of Anesthesiology and Pain Medicine, College of Medicine, Yeungnam University, 170, Hyeonchung-ro, Nam-gu, Daegu, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deok-Hee","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Pain Medicine, College of Medicine, Yeungnam University, 170, Hyeonchung-ro, Nam-gu, Daegu, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2022,1,4]]},"reference":[{"key":"R1-20250925","doi-asserted-by":"crossref","first-page":"251","DOI":"10.1097\/ALN.0b013e31827773b2","article-title":"Practice guidelines for management of the difficult airway: An updated report by the American Society of Anesthesiologists Task Force on Management of the Difficult Airway","volume":"118","author":"Apfelbaum","year":"2013","journal-title":"Anesthesiology"},{"key":"R2-20250925","doi-asserted-by":"crossref","first-page":"604","DOI":"10.1016\/j.jclinane.2004.12.019","article-title":"Management of airway in patients with laryngeal tumors","volume":"17","author":"Moorthy","year":"2005","journal-title":"J Clin Anesth"},{"key":"R3-20250925","doi-asserted-by":"crossref","first-page":"283","DOI":"10.1186\/1752-1947-5-283","article-title":"Surgical and anesthetic considerations of laryngeal saccular cyst: A case report","volume":"5","author":"Aidonis","year":"2011","journal-title":"J Med Case Rep"},{"key":"R4-20250925","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1186\/1756-0500-7-74","article-title":"Worst-case scenario intubation of laryngeal granuloma: A case report","volume":"7","author":"Nakahira","year":"2014","journal-title":"BMC Res Notes"},{"key":"R5-20250925","doi-asserted-by":"crossref","first-page":"1332","DOI":"10.1213\/00000539-199612000-00036","article-title":"Total airway obstruction by papillomas during induction of general anesthesia","volume":"83","author":"Dalmeida","year":"1996","journal-title":"Anesth Analg"},{"key":"R6-20250925","doi-asserted-by":"crossref","first-page":"264","DOI":"10.3389\/fmed.2018.00264","article-title":"Airway management during anesthetic induction of secondary laryngectomy for recurrent laryngeal cancer: Three cases of report and analysis","volume":"5","author":"Zhang","year":"2018","journal-title":"Front Med (Lausanne)"}],"container-title":["Saudi Journal of Anaesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/sja.sja_601_21","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:53:30Z","timestamp":1787756010000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/sja.sja_601_21"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,1]]},"references-count":6,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.4103\/sja.sja_601_21","relation":{},"ISSN":["1658-354X","0975-3125"],"issn-type":[{"value":"1658-354X","type":"print"},{"value":"0975-3125","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,1]]},"assertion":[{"value":"2021-08-13","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-08-16","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}