Soonchunhyang Med Sci.  2020 Jun;26(1):33-35. 10.15746/sms.20.009.

Delayed Detection of Middle Turbinate Fracture after Nasotracheal Intubation: Any Tips for Prevention?

Affiliations
  • 1Department of Anesthesiology and Pain Medicine, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine, Bucheon, Korea
  • 2Department of Otorhinolaryngology-Head and Neck Surgery, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine, Bucheon, Korea

Abstract

Nasotracheal intubation is valuable during intra-oral surgery. A common complication of this technique is epistaxis. We experienced a case of middle turbinate fracture which showed no immediate signs of fracture such as bleeding or avulsed particles. Two months later, it was discovered in the form of nasal obstruction with a mass-like lesion. Symptoms associated with traumatic intubation usually develop during surgery, and it is rare to be found a long time after surgery. We will review the anatomical and technical aspects for safe nasotracheal intubation.

Keyword

Intubation; Epistaxis; Turbinates; Complications; Bone fractures
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