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Different Solutions for Damaged Nasotracheal Tube during Maxillofacial Surgery: A Case Series

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Abstract

Difficult airway management and intraoperative tube damage are important problems during maxillofacial surgery. Damage occurs frequently during the surgery, and the anesthesiologist must be ready to find a quick and safe solution. Replacing the damaged endotracheal tube involves additional difficulties, and various factors must be evaluated. We present two cases of nasotracheal tube (NTT) damage suffered during maxillofacial surgery. The different intraoperative conditions led us to decide for the replacement of NTT in one case and for conservative action in the other. The purpose of this article is to highlight the difficulties that the anesthesiologist may have in deciding quickly what is the best approach in case the endotracheal tube is damaged during maxillofacial surgery and possibly try to provide a rapid and safe solution for the situation.

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Acknowledgements

We thank the participants of the study. Moreover, we are indebted to the Paolo Procacci Foundation for the editing support.

Funding

No funding or sponsorship was received for the publication of this article.

Authorship

All named authors meet the International Committee of Medical Journal Editors (ICMJE) criteria for authorship for this article, take responsibility for the integrity of the work as a whole, and have given their approval for this version to be published.

Disclosures

Alba Piroli, Tommaso Cutilli, Ettore Lupi, Franco Marinangeli, Giustino Varrassi and Antonella Paladini have nothing to disclose.

Compliance with Ethics Guidelines

These cases were normal routine surgery. It was therefore not necessary to receive Ethics Committee approval, but all the procedures were in line with the Ethics Indications of the Teaching Hospital “San Salvatore” for the clinical activities. Both patients were informed of the possibility that their cases would represent material for publication and signed an informed consent form.

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Correspondence to Giustino Varrassi.

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Piroli, A., Cutilli, T., Lupi, E. et al. Different Solutions for Damaged Nasotracheal Tube during Maxillofacial Surgery: A Case Series. Adv Ther 36, 1812–1816 (2019). https://doi.org/10.1007/s12325-019-00968-9

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  • DOI: https://doi.org/10.1007/s12325-019-00968-9

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