Succinylcholine induced Masseter spasm in a young male with frontal sinus abscess

Author:

Loya Shilpa JagdishORCID,Sreekumar Ashik,Kulkarni Sanhita

Abstract

We report a case of frontal sinus abscess posted for FESS, a chronic ghutka chewer with MPC IV and restricted mouth opening. Following induction with propofol and succinylcholine we noticed lockjaw when intubation was attempted, he was ventilated and anesthesia was deepened using propofol and dexmedetomidine, after a few minutes the masseter spasm had improved and miller’s blade was used for endo tracheal intubation & the procedure was uneventful.

Publisher

IP Innovative Publication Pvt Ltd

Subject

General Medicine

Reference8 articles.

1. Sharma M, Sharma S, Kalra P, Kulshreshtha A, Succinylcholine induced masseter muscle rigidity: an isolated event.Anaesth Pain Intensive Care 2013;17(2):174-8

2. Sheikh MM, Riaz A, Umair HM, Waqar M, Muneeb A, Succinylcholine-Induced Masseter Muscle Rigidity Successfully Managed With Propofol and Laryngeal Mask Airway: A Case Report and Brief Review.Cureus 2002;12(7):e9376

3. Bauer SJ, Orio K, Adams BD, Succinylcholine induced masseter spasm during rapid sequence intubation may require a surgical airway: case report.Emerg Med J 2005;22(6):456-8

4. Law JA, Broemling N, Cooper RM, Drolet P, Duggan LV, Griesdale DE, The difficult airway with recommendations for management--part 1--difficult tracheal intubation encountered in an unconscious/induced patient.Can J Anaesth 2013;60(11):1089-118

5. Onyeka TCU, Masseter muscle rigidity: Atypical malignant hyperthermia presentation or isolated event?.Saudi J Anaesth 2010;4(3):205-6

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