下颌髁突骨折后鼻气管插管的一种并发症。

A complication of nasotracheal intubation after mandibular subcondylar fracture.

作者信息

Ersoy Burak, Gürsoy Tolga, Celebiler Ozhan, Umuroğlu Tümay

机构信息

Department of Plastic, Reconstructive, and Aesthetic Surgery, Marmara University School of Medicine, Istanbul, Turkey.

出版信息

J Craniofac Surg. 2011 Jul;22(4):1527-9. doi: 10.1097/SCS.0b013e31821d4e04.

DOI:10.1097/SCS.0b013e31821d4e04

PMID:21778857

Abstract

Among the potential risks of nasotracheal intubation are nasal bleeding, sinusitis, bacteremia, accidental turbinectomy, and some other structural damages. Retropharyngeal dissection is reported as a very rare complication of nasotracheal intubation, mostly encountered in elective surgery patients. A case with traumatic subcondylar fracture of the mandible is presented here, which is suspected to be the cause of the nasopharyngeal dissection that was observed during attempted nasotracheal intubation.

摘要

经鼻气管插管的潜在风险包括鼻出血、鼻窦炎、菌血症、意外的鼻甲切除术以及其他一些结构损伤。据报道，咽后间隙剥离是经鼻气管插管非常罕见的并发症，多见于择期手术患者。本文介绍了一例下颌骨髁突创伤性骨折病例，怀疑是经鼻气管插管尝试过程中观察到的鼻咽部剥离的原因。