Journal of Anesthesia

, Volume 20, Issue 4, pp 304–306 | Cite as

Airway management of a patient with Forestier's disease

  • Murat Y. Ozkalkanli
  • Kaan Katircioglu
  • Dila Tuna Ozkalkanli
  • Serdar Savaci
Article

Abstract

Forestier's disease, also called diffuse idiopathic skeletal hyperostosis (DISH), is a noninflammatory enthesopathy, ossifying the anterolateral spine and sparing the disc and joint space in elderly men, mostly at thoracic levels. Intubation difficulty and spinal cord injury are potential problems when managing the airway in DISH patients. We report a patient with Forestier's disease who was admitted for osteophyte resection. After taking a detailed history, we evaluated the airway carefully. Also, preparation for difficult intubation was done. After a rapid sequence induction, we performed mask ventilation and laryngoscopy without hyperextension of the neck, to prevent spinal cord injury. Although the worldwide standard for management of the airway in DISH patients is awake fiberoptic intubation, we chose conventional laryngoscopy because a fiberoptic bronchoscope was not available.

Key words

Forestier's disease Airway management Intubation difficulty 

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Copyright information

© JSA 2006

Authors and Affiliations

  • Murat Y. Ozkalkanli
    • 1
  • Kaan Katircioglu
    • 1
  • Dila Tuna Ozkalkanli
    • 1
  • Serdar Savaci
    • 1
  1. 1.Department of Anesthesiology and ReanimationIzmir Ataturk Training And Research HospitalYesilyurtTurkey

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