Tracheal Tube Blockage by Fractured Middle Turbinate During Nasal Intubation: A Rare Airway Complication
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Nasotracheal intubation is the preferred method of securing airway in patients undergoing maxillofacial and oral surgical procedures . Nasotracheal intubation can potentially cause nasal damage, sinusitis  and local abscesses. Some of the contraindications to nasotracheal intubation include suspected epiglottitis, midface instability, suspected basilar skull fractures, large nasal polyps and coagulopathy. We report a case in which fracture of the middle turbinate caused inadvertent blockage of tracheal tube lumen during intubation in a maxillofacial patient causing airway emergency.
A 26-year-old male patient was to undergo open reduction and internal fixation of left zygomatico maxillary complex fracture under general anesthesia via nasotracheal intubation. The pre-anesthetic evaluation performed by the anesthesiologist did not reveal any abnormalities which could contraindicate the nasal intubation. So general anesthesia was induced, and after adequate...
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