Kido Kanta, Sato Takumi, Miyashita Hitoshi
Department of Dental Anesthesiology, Kanagawa Dental University, Yokosuka, JPN.
Department of Oral and Maxillofacial Surgery, School of Dentistry, Matsumoto Dental University, Matsumoto, JPN.
Cureus. 2022 Apr 15;14(4):e24171. doi: 10.7759/cureus.24171. eCollection 2022 Apr.
Nasotracheal intubation is generally used in maxillofacial and oral surgeries under general anesthesia. However, nasal intubation may cause various complications including epistaxis, retropharyngeal dissection, and intracranial penetration of the nasotracheal tube, which occurs in patients with basal skull defects or fractures. Therefore, nasotracheal intubation is usually contraindicated in such patients. Herein, we describe an alternative technique using a balloon catheter in nasotracheal intubation to avoid surgical airway management in a patient with a history of transsphenoidal surgery. The use of a balloon catheter may be a simple and safe method of nasotracheal intubation in patients with basal skull defects.
经鼻气管插管通常用于全身麻醉下的颌面和口腔手术。然而，鼻插管可能会引起各种并发症，包括鼻出血、咽后间隙剥离以及鼻气管导管颅内穿透，这种情况发生在有颅底缺损或骨折的患者中。因此，这类患者通常禁忌经鼻气管插管。在此，我们描述了一种在经鼻气管插管中使用球囊导管的替代技术，以避免对有经蝶窦手术史的患者进行手术气道管理。对于有颅底缺损的患者，使用球囊导管可能是一种简单且安全的经鼻气管插管方法。
