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Difficult airway in Eagle’s syndrome
Vía aérea difícil en el síndrome de Eagle
a Servicio de Anestesiología, Reanimación y Tratamiento del Dolor, Hospital Universitario Vall d’Hebrón, Barcelona, Spain
b Departamento de Ciencias Médicas, Facultad de Medicina, Universidad de Girona (UdG), Gerona, Spain
c Instituto de Recerca Vall d’Hebron (VHIR), Barcelona, Spain
d Facultad de Medicina, Universidad Autónoma de Barcelona (UAB), Barcelona, Spain
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Green arrow indicates stylohyoid ligament calcification.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 55-year-old male presented with progressive dysphagia and tracheal deviation on swallowing. He was eventually diagnosed with Eagle's syndrome.</p><p id="par0010" class="elsevierStylePara elsevierViewall">CT scan showed a styloid length of 83<span class="elsevierStyleHsp" style=""></span>mm left and 86<span class="elsevierStyleHsp" style=""></span>mm right with severe calcification of the stylohyoid ligaments (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). Surgical management by bilateral styloidectomy was chosen. A first failed intubation attempt by direct laryngoscopy, a second failed attempt with Airtrack, and a third successful attempt using Glidescope were performed. The rest of the anaesthetic procedure was uneventful.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">Calcification of the stylohyoid ligaments moderately hinders the separation of the epiglottis from the posterior pharyngeal wall. This conditions visualisation of the glottic structures during direct laryngoscopy and creates a potential situation of difficult airway and failed intubation when the tube is placed posteriorly.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflict of interests</span><p id="par0020" class="elsevierStylePara elsevierViewall">The authors have no conflict of interests to declare.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:1 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Conflict of interests" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2021-11-02" "fechaAceptado" => "2021-11-04" "multimedia" => array:1 [ 0 => array:8 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 868 "Ancho" => 905 "Tamanyo" => 70056 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0130" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">red arrow indicates the left styloid process 83<span class="elsevierStyleHsp" style=""></span>mm in length. 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