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Korean Journal of Anesthesiology 2007;53(5):652-655.
DOI: https://doi.org/10.4097/kjae.2007.53.5.652   
Retropharyngeal Laceration during Nasotracheal Intubation: A case report.
Il Man Jeong, Chul Ho Woo, Hyeong Seok Kim, In Suk Kwak, Sung Ha Mun, Hyun Soo Kim, Kwang Min Kim
1Department of Anesthesiology and Pain Medicine, Hangang Sacred Heart Hospital, College of Medicine, Hallym University, Seoul, Korea. woochmd@lycos.co.kr
2Department of Anesthesiology and Pain Medicine, College of Medicine, Kangbuk Samsung Hospital, College of Medicine, Sungkyunkwan University, Seoul, Korea.
Nasotracheal intubation is a useful airway management technique for head, neck, and dental surgery. However, the risks associated with this technique include the possibility of damaging the nasal mucosa and related structures including the epistaxis, pharyngolaryngeal mucosal injury, bleeding, avulsion of the turbinate, nasal polyps, sinusitis, and bacteremia. Some of these symptoms occasionally result in fatal complications. A 26-year-old male, was scheduled to undergo surgery for malocclusion type 3 under general anesthesia with nasotracheal intubation. During the nasotracheal intubation, the tip of nasotracheal tube entered into the retropharyngeal space through the nasopharyngeal wall instead of oropharyngeal space, however no blood aspiration and retropharyngeal swelling occured. After surgery, the patient was treated with broad spectrum antibiotics and conservative management, and was completely cured without further complications.
Key Words: airway management; complication; nasotracheal intubation


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