J Dent Anesth Pain Med.  2015 Jun;15(2):101-103.

Damage to the pilot balloon of the nasotracheal tube during orthognathic double-jaw surgery: A case report

• Kim EJ
• Yoon JY
• Woo MN
• Kim CH
• Yoon JU
• Jeon DN

Abstract

In oral and maxillofacial surgery, many complications associated with nasotracheal tube can be caused. In this case, we reported ballooning tube damage of nasotracheal tube during orthognathic double-jaw surgery and replacement of tube through cut down of tube and tube exchange using airway exchange catheter. The patient scheduled for high Le Fort I osteotomy and bilateral sagittal split osteotomy was intubated nasotracheally with nasal endotracheal tube. During maxilla osteotomy, air bubble was detected in the oral blood. In spite of our repeated ballooning, the results were the same so we changed damaged tube using airway exchange catheter aseptically. Tiny and superficial cutting site was detected in the middle of pilot tube. As we know in our case, tiny injury impeded a normal airway management and prevention is important.

Keyword

Intubation; Endotracheal; Complication; Orthognathic Surgery

MeSH Terms

Airway Management
Catheters
Humans
Intubation
Maxilla
Orthognathic Surgery
Osteotomy
Surgery, Oral

Figure

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  Fig. 1 Damaged nasotracheal tube retrieved during orthognathic doublejaw surgery in a 27-year-old man. A small, superficial cut can be observed in the center of the pilot balloon. The red arrow indicates the site of injury.

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