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Book Review: The Ear: Diagnostic Imaging. CT Scanner, Tomography and Magnetic Resonance

In their retrospective analysis of postlaryngoscopy airway com­ plications (Airway Complications from Laryngoscopy and Panen­ doscopy. Ann Otol Rhinol Laryngol 1987;96:β91-4), Dr Richard Hill et al tried to "derive some insights" but offered conclusions that only can lead to more complications and fatalities. In their series, more than 90 % of the patients who required reintubation had T3 or T4 lesions in the laryngopharynx. Every experienced head and neck surgeon knows that when tumors in this region are bulky and friable, accurate assessment of their extent is often dif­ ficult. Many such patients have no preoperative signs of upper air­ way obstruction, a fact that may lull the otolaryngologist and the anesthesiologist. Repeat "passes" by the anesthesiologist followed by those of the endoscopist create a bloody, edematotis airway. Occasionally, the airway is totally lost in the process of attempted intubation, and a crash tracheotomy is necessary.