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Thyroglossal cyst excision

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Hypoglossal and superior laryngeal nerves at risk of injury.

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Jul 21, 2011
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Post operative haematoma may result in distorted anatomy without airway compromise, but difficult laryngoscopy due to an immobile epiglottis. refl.in/a5

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Positioning will involve significant neck extension. Assess range of motion preoperatively.

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Jul 27, 2011
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Duration 1-2 hrs

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Jul 22, 2011
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Intraoperative laryngeal nerve testing not usually required.

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Jul 21, 2011
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Adults - Reinforced oral endotracheal tube secured over forehead with padding under tube to avoid pressure injuries.

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Jul 30, 2014
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Remote airway. Secure endotracheal tube well.

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Jul 21, 2011
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An endotracheal tube is often preferred by surgeons as laryngeal mask airways distort airway anatomy during dissection.

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If using an uncuffed ETT in a child, check for the size of the leak with the neck in the extended position it will be in during the procedure as this may make the leak unacceptably large.

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Standard ETT securely taped coming out the side of the mouth opposite to the side of the lesion.

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Local anaesthetic infiltration should control much of the intraoperative pain

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