Giant cavernous haemangioma of the tongue

uneventful. There was no straining (bucking) during anaesthesia or emergence, but it did occur when the trachea was extubated. Postoperatively, the patient noticed that he could only whisper and dislocation of the right arytenoid was diagnosed. On hearing the diagnosis the patient complained that the anaesthetist in charge might have used undue force during tracheal intubation. We explained that the trachea was intubated easily, and that intubation was an unlikely cause of the arytenoid dislocation. We also explained that arytenoid dislocation could occur by several different mechanisms [3]. We offered the patient a replay of the video record of his intubation. After showing this to him, he agreed that intubation had been performed properly and without undue force to the arytenoids. It is becoming routine practice to record video images of surgical procedures, such as laparoscopic or microscopic surgery. In our case, the recorded video allowed us to re-examine, and helped the patient to judge, whether tracheal intubation was performed properly. We suggest that, although the video laryngoscope is currently expensive and not yet widely available, this system would further improve the patient-doctor relationship.