2017 Volume 37 Issue 2 Pages 176-180
In spinocerebellar degeneration（SCD）patients, vocal cord movement disorder can result in the development of sleep apnea. It is possible that administration of general anesthesia causes vocal cord movement disorder in SCD patients. Here, we report our experience with two SCD patients for whom airway management was achieved safely by observation of the vocal cords using fiberscope. Preoperative assessment of the vocal cords is necessary for SCD patients, and the use of a fiberscope allowed the observation of vocal cord movement after extubation to assess the upper airway. Because of the possibility of delayed sleep apnea onset following surgery, airway management needs to be maintained in the intensive care unit during the postoperative period.
