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J Dent Anesth Pain Med. 2015 Dec;15(4):235-239. English. Case Report.
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.
Department of Dental Anesthesiology, Dental Research Institute, School of Dentistry, Seoul National University, Seoul, Korea.

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.

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