Journal of Dental Anesthesia and Pain Medicine  2015;15(2):101-103

doi:10.17245/jdapm.2015.15.2.101

Damage to the pilot balloon of the nasotracheal tube during orthognathic double-jaw surgery: A case report.

Eun Jung KIM 1 ; Ji Young YOON ; Mi Na WOO ; Cheul Hong KIM ; Ji Uk YOON ; Da Nee JEON

Affiliations

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Keywords

Intubation; Endotracheal; Complication; Orthognathic Surgery

Country

Republic of Korea

Language

English

Abstract

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.