RESEARCH ARTICLE
Unexpected Difficult Intubation in a Patient with Prominent Mandibular Tori
Jaydev Sarma
Article Information
Identifiers and Pagination:
Year: 2014Volume: 8
First Page: 1
Last Page: 3
Publisher ID: TOATJ-8-1
DOI: 10.2174/1874321801408010001
Article History:
Received Date: 25/03/2014Revision Received Date: 28/04/2014
Acceptance Date: 28/04/2014
Electronic publication date: 13/6/2014
Collection year: 2014
open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Abstract
Bony exostoses such as mandibular tori are fairly common. They are asymptomatic, benign cortical bony protuberances occurring along the lingular aspect of the mandible. Large tori may interfere with direct laryngoscopy resulting in difficult intubation. This is a case report about a 66 year old, Caucasian male with a Mallampati class I airway who was un-intubatable initially, due to the presence of bilateral mandibular tori that formed a plate of bone beneath his tongue. He was intubated subsequently with the help of an Eschmann bougie.