Abstract
A 19-year-old male with Gardner syndrome was admitted to have a giant tumor (25×23×17cm) on his back removed. Before anesthesia we decided that he should not be placed in the supine position for tracheal intubation because of the giant tumor. Therefore, following sedation with an intravenous pentazocine 30mg and diazepam 10mg, awake nasal intubation was performed in the lateral position by using a fiberoptic bronchoscope under local anesthesia. Endotracheal tube was easily inserted into the trachea at the first trial.
The intubation using fiberoptic bronchoscopy was very useful method for a patient with Gardner syndrome who had a giant tumor on the back.