Transorbital endotracheal intubation: a nonstandard approach to a difficult airway.
Publication
, Journal Article
Waldron, NH; Stolp, BW; Ogilvie, MP; Powers, DB; Shaughnessy, MR
Published in: J Clin Anesth
November 2016
We present the case report of a 49-year-old gentleman with a history of adenoid cystic carcinoma of the left nare status post curative bifrontal craniotomy, left lateral rhinotomy and medial maxillectomy, adjuvant radiotherapy, and orbital exenteration for optic neuropathy, complicated by medial wall dehiscence. His course was also complicated by severe radiation trismus, for which he was scheduled to undergo bilateral mandibular coronoidectomies. Given his limited mouth opening, the surgeon requested a nasal endotracheal tube. Because of concerns of traumatizing his nare, we utilized a flexible fiberoptic bronchoscope to perform asleep transorbital intubation. Airway management in patients with severe trismus may require ingenuity.
Duke Scholars
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Published In
J Clin Anesth
DOI
EISSN
1873-4529
Publication Date
November 2016
Volume
34
Start / End Page
314 / 317
Location
United States
Related Subject Headings
- Trismus
- Radiation Injuries
- Orbit
- Middle Aged
- Mandible
- Male
- Intubation, Intratracheal
- Humans
- Fiber Optic Technology
- Bronchoscopy
Citation
APA
Chicago
ICMJE
MLA
NLM
Waldron, N. H., Stolp, B. W., Ogilvie, M. P., Powers, D. B., & Shaughnessy, M. R. (2016). Transorbital endotracheal intubation: a nonstandard approach to a difficult airway. J Clin Anesth, 34, 314–317. https://doi.org/10.1016/j.jclinane.2016.05.005
Waldron, Nathan H., Bryant W. Stolp, Michael P. Ogilvie, David B. Powers, and Michael R. Shaughnessy. “Transorbital endotracheal intubation: a nonstandard approach to a difficult airway.” J Clin Anesth 34 (November 2016): 314–17. https://doi.org/10.1016/j.jclinane.2016.05.005.
Waldron NH, Stolp BW, Ogilvie MP, Powers DB, Shaughnessy MR. Transorbital endotracheal intubation: a nonstandard approach to a difficult airway. J Clin Anesth. 2016 Nov;34:314–7.
Waldron, Nathan H., et al. “Transorbital endotracheal intubation: a nonstandard approach to a difficult airway.” J Clin Anesth, vol. 34, Nov. 2016, pp. 314–17. Pubmed, doi:10.1016/j.jclinane.2016.05.005.
Waldron NH, Stolp BW, Ogilvie MP, Powers DB, Shaughnessy MR. Transorbital endotracheal intubation: a nonstandard approach to a difficult airway. J Clin Anesth. 2016 Nov;34:314–317.
Published In
J Clin Anesth
DOI
EISSN
1873-4529
Publication Date
November 2016
Volume
34
Start / End Page
314 / 317
Location
United States
Related Subject Headings
- Trismus
- Radiation Injuries
- Orbit
- Middle Aged
- Mandible
- Male
- Intubation, Intratracheal
- Humans
- Fiber Optic Technology
- Bronchoscopy