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http://dx.doi.org/10.15207/JKCS.2021.12.10.305

Airway Management Using the I-gel Supraglottic Airway Device in Patients with Grisel's Syndrome -Case Report-  

Lee, Cheolhyeong (Department of Anesthesiology and Pain Medicine, Wonkwang University Hospital)
Doo, A Ram (Department of Anesthesiology and Pain Medicine, Jeonbuk National University hospital)
Woo, Cheol Jong (Department of Anesthesiology and Pain Medicine, Jeonbuk National University hospital)
Son, Ji-Seon (Jeonbuk National University Medical School and Hospital, Jeonbuk National University)
Lee, Sang-Kyi (Jeonbuk National University Medical School and Hospital, Jeonbuk National University)
Kim, Yeon-dong (Wonkwang University School of Medicine, Wonkwang University)
Publication Information
Journal of the Korea Convergence Society / v.12, no.10, 2021 , pp. 305-310 More about this Journal
Abstract
Grisel's syndrome is a non-traumatic subluxation of the atlantoaxial joint with an inflammatory condition in the adjacent soft tissues. Due to the instability of the cervical spine, careful airway management is crucial to prevent potential cervical spinal cord injury following airway manipulation. We successfully secured the patient airway using a supraglottic airway device (I-gel) in a patient who had previously diagnosed with Grisel's syndrome. The operation was successfully completed, and the patient recovered without any neurological complications. I-gel can be a good option for airway management during general anesthesia in a patient diagnosed with Grisel's syndrome.
Keywords
Atlantoaxial instability; Cervical spinal cord injury; Difficult airway; Grisel's syndrome; Saglottic airway;
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1 W. F. Donaldson III, B. V. Heil, V. P. Donaldson & V. J. Silvaggio. (1997). The effect of airway maneuvers on the unstable C1-C2 segment: a cadaver study. Spine, 22(11), 1215-1218. DOI : 10.1097/00007632-199706010-00008   DOI
2 C. R. Turner, J. Block, A. Shanks, M. Morris, K. R. Lodhia & S. K. Gujar. (2009). Motion of a cadaver model of cervical injury during endotracheal intubation with a Bullard laryngoscope or a Macintosh blade with and without in-line stabilization. Journal of Trauma and Acute Care Surgery, 67(1), 61-66. DOI : 10.1097/TA.0b013e318182afa8   DOI
3 M. C. Gerling, D. P. Davis, R. S. Hamilton, G. F. Morris, G. M. Vilke, S. R. Garfin & S. R. Hayden. (2000). Effects of cervical spine immobilization technique and laryngoscope blade selection on an unstable cervical spine in a cadaver model of intubation. Annals of emergency medicine, 36(4), 293-300. DOI : 10.1067/mem.2000.109442   DOI
4 B. G. Santoni, B. J. Hindman, C. M. Puttlitz, J. B. Weeks, N. Johnson, M. A. Maktabi & M. M. Todd. (2009). Manual in-line stabilization increases pressures applied by the laryngoscope blade during direct laryngoscopy and orotracheal intubation. The Journal of the American Society of Anesthesiologists, 110(1), 24-31. DOI : 10.1097/ALN.0b013e318190b556   DOI
5 E. Farag. (2016). Airway management for cervical spine surgery. Best Practice & Research Clinical Anaesthesiology, 30(1), 13-25. DOI : 10.1016/j.bpa.2016.01.001   DOI
6 D. Haske, B. Schempf, C. Niederberger & G. Gaier. (2016). i-gel as alternative airway tool for difficult airway in severely injured patients. The American journal of emergency medicine, 34(2), 340-e1. DOI : 10.1016/j.ajem.2015.06.008   DOI
7 W. W. Parke, R. H. Rothman & M. D. Brown. (1984). The pharyngovertebral veins: an anatomical rationale for Grisel's syndrome. The Journal of bone and joint surgery. American volume, 66(4), 568-574. DOI : 10.2106/00004623-198466040-00012   DOI
8 Y. Chen, Z. Zhuang, W. Qi, H. Yang, Z. Chen, X. Wang & K. Kong. (2011). A three-dimensional study of the atlantodental interval in a normal Chinese population using reformatted computed tomography. Surgical and radiologic anatomy, 33(9), 801. DOI : 10.1007/s00276-011-0817-7   DOI
9 A. G. Michael, H. C. Neal, I. E. Lars, A. F. Lee, L. Kate & P. W. Jeanine. (2020). Miller's anesthesia. 9th edition. Philadelphia: Elsevier; 2020. 925p.
10 A. R. Ahn, Y. H. Park, E. J. Park & S. Y. Yim. (2017). A case of grisel syndrome showing no underlying laxity of the atlanto-axial joint. Annals of rehabilitation medicine, 41(3), 511. DOI : 10.5535/arm.2017.41.3.511   DOI
11 A. Viscone, C. Brembilla & G. Gotti. (2014). The importance and effectiveness of conservative treatment in Grisel's syndrome. Journal of pediatric neurosciences, 9(2), 200. DOI : 10.4103/1817-1745.139371   DOI
12 J. W. Fielding & R. J. Hawkins. (1977). Atlanto-axial rotatory fixation.(Fixed rotatory subluxation of the atlanto-axial joint). The Journal of bone and joint surgery. American volume, 59(1), 37-44.   DOI
13 T. Kilic, E. Goksu, D. Durmaz & G. Yildiz. (2013). Upper cervical spine movement during intubation with different airway devices. The American journal of emergency medicine, 31(7), 1034-1036. DOI : 10.1016/j.ajem.2013.03.029   DOI
14 B. Richez, L. Saltel, F. Banchereau, R. Torrielli & A. M. Cros. (2008). A new single use supraglottic airway device with a noninflatable cuff and an esophageal vent: an observational study of the i-gel. Anesthesia & Analgesia, 106(4), 1137-1139. DOI : 10.1213/ane.0b013e318164f062   DOI
15 T. Al-Driweesh, F. Altheyab, M. Alenezi, S. Alanazy & T. Aldrees. (2020). Grisel's Syndrome Post Otolaryngology Procedures: A Systematic Review. International Journal of Pediatric Otorhinolaryngology, 110225. DOI : 10.1016/j.ijporl.2020.110225   DOI
16 K. Liu, F. Xie, D. Wang, L. Guo, Y. Qi, J. Tian & A. Chhabra, (2015). Reference ranges for atlantodental interval in adults and its variation with age and gender in a large series of subjects on multidetector computed tomography. Acta Radiologica, 56(4), 465-470. DOI : 10.1177/0284185114530284   DOI
17 S. Liao, N. R. Schneider, F. Weilbacher, A. Stehr, S. Matschke, P. A. Grutzner & M. Kreinest. (2018). Spinal movement and dural sac compression during airway management in a cadaveric model with atlanto-occipital instability. European Spine Journal, 27(6), 1295-1302. DOI : 10.1007/s00586-017-5416-9   DOI
18 P. Grisel, (1930). Enucleation de l'atlas et toricollis nasopharyngien. Presse med, 38, 50-53.
19 P. D. Karkos, J. Benton, S. C. Leong, E. Mushi, N. Sivaji, & D. A. Assimakopoulos, (2007). Grisel's syndrome in otolaryngology: a systematic review. International Journal of Pediatric otorhinolaryngology, 71(12), 1823-1827. DOI : 10.1016/j.ijporl.2007.07.002   DOI
20 A. P. Battiata & G. Pazos. (2004). Grisel's syndrome: the two-hit hypothesis-a case report and literature review. Ear, nose & throat journal, 83(8), 553-555. DOI : 10.1177/014556130408300814   DOI
21 L. Fath, H. Cebula, M. N. Santin, A. Coca, C. Debry & F. Proust. (2018). The Grisel's syndrome: a non-traumatic subluxation of the atlantoaxial joint. Neurochirurgie, 64(4), 327-330. DOI : 10.1016/j.neuchi.2018.02.001   DOI
22 S. Omercikoglu, E. Altunbas, H. Akoglu, O. Onur & A. Denizbasi. (2017). Normal values of cervical vertebral measurements according to age and sex in CT. The American journal of emergency medicine, 35(3), 383-390. DOI : 10.1016/j.ajem.2016.11.019   DOI
23 S. Osiro, K. J. Tiwari, P. Matusz, J. Gielecki, R. S. Tubbs & M. Loukas. (2012). Grisel's syndrome: a comprehensive review with focus on pathogenesis, natural history, and current treatment options. Child's Nervous System, 28(6), 821-825. DOI : 10.1007/s00381-012-1706-z   DOI