Anesth Pain Med.  2016 Apr;11(2):217-219. 10.17085/apm.2016.11.2.217.

Accidental middle turbinectomy by nasotracheal intubation: A case report

• Kim DR
• Jung YH
• Kang H
• Oh JI
• Park YH

• KMID: 2358489
• DOI: http://doi.org/10.17085/apm.2016.11.2.217

Abstract

Nasotracheal intubation is an anesthetic technique widely used for maxillofacial surgery. It has the advantage of easier access to the surgical site to surgeon. However, when the nasothracheal intubation is performed a few complications may occur, such as nasal mucosa damage, epistaxis, sinusitis by sinus drainage occlusion and transient bacteremia. In addition, concha bullosa is a common anatomic variant of the middle turbinate, which is pneumatized, and very susceptible to trauma. We report a case of accidental middle turbinectomy by nasotracheal intubation, in the patient who had bilateral concha bullosa.

Keyword

Concha bullosa; Middle turbinectomy

MeSH Terms

Bacteremia
Drainage
Epistaxis
Humans
Intubation*
Nasal Mucosa
Sinusitis
Surgery, Oral
Turbinates

Figure

• 

  Fig. 1 A coronal image of facial CT. Rt.: Right, Lt.: Left. Arrow head: concha bullosa of middle turbinate, Arrow: nasal mucosal edema.

• 

  Fig. 2 Endoscopic image of right nasal cavity. Arrow: complete bleeding control after accidental middle turbinectomy.

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