Difficult Intubation in Post-Orthognathic Surgical Patient.
10.4097/kjae.1995.28.5.734
- Author:
Jun Rae LEE
1
;
He Sun SONG
Author Information
1. Department of Oral and Maxillofacial Surgery, College of Dentistry, Chunbuk National University, Korea.
- Publication Type:Case Report
- Keywords:
Difficult intubation;
Orthognathic surgery;
Flexible fiberoptic laryngoscope
- MeSH:
Adolescent;
Brain;
Humans;
Intellectual Disability;
Intubation*;
Jaw;
Laryngoscopes;
Larynx;
Male;
Neck Muscles;
Orthognathic Surgery
- From:Korean Journal of Anesthesiology
1995;28(5):734-736
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
This 17 year-old male patient had an experience of a difficult intubation problem on miniplate removal operation after orthognathic surgery, but he didn't have the same problem on a previous orthognathic surgery 1 year before. He suffers from mental retardation and speaking disability due to congenital brain damage. I think difficult exposure of the larynx was caused by the imbalance of neck muscle force and jaw instability, as result from surgery. The preoperative airway evaluation is very important because findings may dictate choice of intubation technique. A flexible fiberoptic laryngoscope may be the most useful aid to awake intubation in the patient with a known difficult airway.
