Tonsillar and Soft Palate Trauma Secondary to Difficult Intubation by Videolaryngoscopy: Case Report

Airway management is one of the activities that the anesthesiologist routinely performs in the operating room, and one of the greatest challenges they face is managing a difficult airway whether predicted or not. The reported incidence rates are for difficult ventilation 1.4–5.0% and impossible 0.07–0.16%. For difficult intubation 5-8% and failed intubation 0.05-0.35%. Videolaryngoscope has demonstrated a higher success rate for intubation compared to conventional laryngoscopy, but without proper training the risk of trauma and injury to the oropharynx increases. In our case report, we present the injury to the right tonsil and soft palate caused by difficult intubation with videolaringoscope which required surgical intervention by otolaryngology for resolution. Due to an increase in reported cases of injuries secondary to videolaryngoscopy, it is important to review the factors associated with complications in the institutions where it is used, whit the aim of reduce complications that can have serious or even fatal consequences. Article