Transorbital endotracheal intubation: a nonstandard approach to a difficult airway.

Journal Article (Journal Article)

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.

Full Text

Duke Authors

Cited Authors

  • Waldron, NH; Stolp, BW; Ogilvie, MP; Powers, DB; Shaughnessy, MR

Published Date

  • November 2016

Published In

Volume / Issue

  • 34 /

Start / End Page

  • 314 - 317

PubMed ID

  • 27687400

Electronic International Standard Serial Number (EISSN)

  • 1873-4529

Digital Object Identifier (DOI)

  • 10.1016/j.jclinane.2016.05.005


  • eng

Conference Location

  • United States