ArticleCureus2026
Near-Complete Airway Obstruction Caused by a Retropharyngeal Hematoma Following Anterior Cervical Discectomy and Fusion Managed With Nasotracheal Intubation.
Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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2 authors.
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Abstract
Postoperative retropharyngeal hematoma after anterior cervical spine surgery is a rare but potentially life-threatening complication because it can rapidly cause airway obstruction. In addition, it may result in an unanticipated difficult airway due to anatomical distortion. A patient underwent an anterior cervical discectomy and fusion (ACDF) at the C3-C5 level for dropped head syndrome. Approximately one hour after surgery, the patient developed sudden dyspnea and agitation. Emergency reintubation was attempted; however, direct oral intubation was extremely difficult because the glottis had shifted superiorly due to severe pharyngeal compression. Fiberoptic nasotracheal intubation using a 6.5-mm endotracheal tube was successfully performed. Computed tomography (CT) revealed a large retropharyngeal hematoma causing near-complete airway obstruction. Postoperative retropharyngeal hematoma can cause sudden airway obstruction and an unanticipated difficult airway. Prompt recognition and appropriate airway management are essential.
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