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GENERAL ARTICLES

Laryngeal Trauma During Awake Fiberoptic Intubation

Mazen A. Maktabi, MD^*, Henry Hoffman, MD, Gery Funk, MD, and Robert P. From, DO^*

Departments of *Anesthesia and Otolaryngology and Head and Neck Surgery, College of Medicine, University of Iowa, Iowa City, Iowa

Address correspondence and reprint requests to Mazen Maktabi, MD, University of Iowa, Department of Anesthesia, 6537 6JCP, 200 Hawkins Dr., Iowa City, IA, 52242. Address e-mail to mazen-maktabi{at}uiowa.edu

IMPLICATIONS: We describe three patients with difficult airways in which fiberoptic endotracheal intubation was used to insert breathing tubes into the patients’ windpipes. Airway injury occurred during the use of this technique. Although largely a safe technique, care should be exercised when anesthesiologists choose equipment and when they perform this technique.

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