1.Damage to the pilot balloon of the nasotracheal tube during orthognathic double-jaw surgery: A case report.
Eun Jung KIM ; Ji Young YOON ; Mi Na WOO ; Cheul Hong KIM ; Ji Uk YOON ; Da Nee JEON
Journal of Dental Anesthesia and Pain Medicine 2015;15(2):101-103
In oral and maxillofacial surgery, many complications associated with nasotracheal tube can be caused. In this case, we reported ballooning tube damage of nasotracheal tube during orthognathic double-jaw surgery and replacement of tube through cut down of tube and tube exchange using airway exchange catheter. The patient scheduled for high Le Fort I osteotomy and bilateral sagittal split osteotomy was intubated nasotracheally with nasal endotracheal tube. During maxilla osteotomy, air bubble was detected in the oral blood. In spite of our repeated ballooning, the results were the same so we changed damaged tube using airway exchange catheter aseptically. Tiny and superficial cutting site was detected in the middle of pilot tube. As we know in our case, tiny injury impeded a normal airway management and prevention is important.
Airway Management
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Catheters
;
Humans
;
Intubation
;
Maxilla
;
Orthognathic Surgery
;
Osteotomy
;
Surgery, Oral
2.Takotsubo cardiomyopathy in a patient with oral cancer.
Da Nee JEON ; Kun Hyo PARK ; Jung Han LEE ; Uk Kyu KIM ; Eun Jung KIM ; Ji Young YOON
Journal of Dental Anesthesia and Pain Medicine 2015;15(3):157-160
A patient with squamous cell carcinoma on the left mandible presented with symptoms similar to acute coronary syndrome just after surgery. The exact etiology was unclear, but following transthoracic echocardiogram, takotsubo cardiomyopathy was diagnosed. This is a rare, acute, and reversible form of heart failure, and the patient recovered completely within weeks. Related risk factors are believed to include extended surgery times and extended time under general anesthesia. Early recognition, followed by postoperative control of pain and anxiety are crucial to patient recovery.
Acute Coronary Syndrome
;
Anesthesia, General
;
Anxiety
;
Carcinoma, Squamous Cell
;
Heart Failure
;
Humans
;
Mandible
;
Mouth Neoplasms*
;
Risk Factors
;
Takotsubo Cardiomyopathy*
3.Takotsubo cardiomyopathy in a patient with oral cancer.
Da Nee JEON ; Kun Hyo PARK ; Jung Han LEE ; Uk Kyu KIM ; Eun Jung KIM ; Ji Young YOON
Journal of Dental Anesthesia and Pain Medicine 2015;15(3):157-160
A patient with squamous cell carcinoma on the left mandible presented with symptoms similar to acute coronary syndrome just after surgery. The exact etiology was unclear, but following transthoracic echocardiogram, takotsubo cardiomyopathy was diagnosed. This is a rare, acute, and reversible form of heart failure, and the patient recovered completely within weeks. Related risk factors are believed to include extended surgery times and extended time under general anesthesia. Early recognition, followed by postoperative control of pain and anxiety are crucial to patient recovery.
Acute Coronary Syndrome
;
Anesthesia, General
;
Anxiety
;
Carcinoma, Squamous Cell
;
Heart Failure
;
Humans
;
Mandible
;
Mouth Neoplasms*
;
Risk Factors
;
Takotsubo Cardiomyopathy*