2024, Vol. 7, Issue 2, Part A

We present a case of a 53-year-old female with a history of right hemi thyroidectomy 12 years ago, diagnosed with metastatic thyroid carcinoma involving the sternum and C3 vertebrae. The patient underwent a completion thyroidectomy, sternal resection, and sternal reconstruction. The anticipated difficult airway due to the sternum mass and C3 vertebral fracture necessitated meticulous planning. An epidural catheter was placed at the T₆-T₇ level for pain management. Preoperative medications included Fentanyl, Propofol, and Rocuronium. Fiber optic-guided intubation was performed in a neck-neutral position. The patient was successfully intubated without complications.