Gosavi Kundan, Dey Paulomi, Swami Sachin
Department of Anaesthesiology, Grant Government Medical College, Mumbai, Maharashtra, India.
Asian J Neurosurg. 2018 Oct-Dec;13(4):1260-1263. doi: 10.4103/ajns.AJNS_235_17.
Diffuse idiopathic skeletal hyperostosis (DISH) is associated with abnormal ossification of spinal and extraspinal appendages. Incidence of DISH is high in old age with predilection for males. Cervical hyperostosis can make intubation difficult in multiple ways. Here, we report a case of DISH bridging the cervical spine from C2 to C7 vertebrae managed using awake fiberoptic technique and a small-sized endotracheal tube.
弥漫性特发性骨肥厚(DISH)与脊柱和脊柱外附属器的异常骨化有关。DISH在老年人中发病率较高,男性更易患病。颈椎骨肥厚可通过多种方式使插管困难。在此,我们报告一例C2至C7椎体颈椎桥接的DISH病例,采用清醒纤维光学技术和小号气管内导管进行处理。