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J Dent Anesth Pain Med. 2015 Dec;15(4):235-239. English. Case Report. https://doi.org/10.17245/jdapm.2015.15.4.235
Choi YJ , Park S , Chi SI , Kim HJ , Seo KS .
Department of Anesthesiology and Pain Medicine, Seoul National University Bungdang Hospital, Seongnam, Korea.
Department of Dental Anesthesiology, Seoul National University Dental Hospital, Seoul, Korea. stone90@snu.ac.kr
Department of Dental Anesthesiology, Dental Research Institute, School of Dentistry, Seoul National University, Seoul, Korea.
Abstract

The Combitube is an emergency airway-maintaining device, which can supply oxygen to dyspneic patients in emergency situations following two-jaw surgery. These patients experience difficulty in opening the mouth or have a partially obstructed airway caused by edema or hematoma in the oral cavity. As such, they cannot maintain the normal airway. The use of a Combitube may be favorable compared to the laryngeal mask airway because it is a thin and relatively resilient tube. A healthy 24-year-old man was dyspneic after extubation. Oxygen saturation fell below 90% despite untying the bimaxillary fixation and ambubagging. The opening of the mouth was narrow; thus, emergency airway maintenance was gained by insertion of a Combitube. The following day, a facial computer tomography revealed that the airway space narrowing was severe compared to its pre-operational state. After the swelling subsided, the patient was successfully extubated without complications.

Copyright © 2019. Korean Association of Medical Journal Editors.