Comprehensive Case Study on Awake Fiberoptic Intubation for Ameloblastoma with a Challenging Airway

Made Agus Cahya Nugraha K, IGN Alit Hendra Wahyudi, IB Gd Dwi Dharmayana

Abstract: Ameloblastoma is a benign odontogenic tumor commonly found in the jawbone. It originates from remnants of tooth germ epithelium, odontogenic cyst epithelium, stratified squamous epithelium, and enamel organ epithelium. It represents about 1% of oral tumors. Endotracheal intubation is a common procedure and is a technique that cannot be separated from modern anesthesia and surgery. This case report details an instance of successful awake fiberoptic nasotracheal intubation in a 33-year-old female patient with ameloblastoma, presenting a challenging airway situation. The case underscores the significance of meticulous airway management in the context of anesthesia and surgery, highlighting the use of topical anesthetics and careful planning to ensure patient safety. The report emphasizes the anesthesiologists role in continually updating their knowledge and skills in airway management.

Keywords: Ameoblastoma, Awake fiberoptic, Airway management