Anantnag, Jun 27 : In a remarkable feat of medical expertise, a 73-year-old male patient with a history of tobacco use successfully underwent a complex surgical procedure to remove an extensive right-sided tonsillopharyngeal mass at Department of ENT, MMABM Hospital Anantnag.
In a statement to news agency, the surgery was particularly challenging due to the mass’s extensive involvement and the significant anesthetic difficulties it posed.
“The patient presented with a carcinoma extending from the right faucial pillar, involving the base of the tongue, vallecula, posterior oropharynx, and medially crossing the midline,”
it said.
“The mass displaced the epiglottis and abutted the airway up to the right vocal cord, with epiglottic invasion and necrosis. The mass’s friability and tendency to bleed easily upon manipulation added to the complexity.”
Dr Anjum Shamim, HOD Anesthesia at GMC Anantnag performed an awake intubation using a video laryngoscope given the limited space for laryngoscopy and the patient’s compromised airway.
“The patient, who also had a left bundle branch block (LBBB), was classified as high-risk, necessitating thorough preoperative assessment and consent for both high-risk surgery and potential tracheostomy,” it said.
The surgical team, led by consultant ENT Surgeon, Dr Salman Khurshid and assisted by Dr Pervaiz Reshi, Dr Sumer Bashir, and Reyaz meticulously removed the mass en bloc, ensuring complete hemostasis. “Post-surgery, an awake extubation was performed, and the patient was transferred to the ward in a satisfactory condition,” it added.
Principal of GMC Anantnag, Prof (Dr) Rukhsana Najeeb lauded the team’s efforts saying, “This successful procedure is a testament to the exceptional skill and dedication of our medical professionals. The complexity of this case required precise coordination and expertise from both our surgical and anesthetic teams. We are proud of their commitment to delivering high-quality patient care under such challenging circumstances.”
Medical Superintendent AH-GMC Anantnag Dr Muzaffar Sherwani also commended the surgical and anesthetic teams for their outstanding performance, describing it as a significant achievement for the hospital
