Ahmed ME, Refaie BM, Abdelrahman F, Ragab ARAM. Pyriform sinus perforation during nasotracheal intubation: a case report.
Int J Surg Case Rep 2020;
72:351-354. [PMID:
32563819 PMCID:
PMC7306536 DOI:
10.1016/j.ijscr.2020.06.032]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2020] [Revised: 06/09/2020] [Accepted: 06/09/2020] [Indexed: 11/21/2022] Open
Abstract
Endotracheal intubation is the commonest technique in medical practice with a low complication rate.
Physicians performing endotracheal intubation or dealing with patients after intubation, should be aware of the clinical symptoms of such complications.
Early diagnosis is the mainstay improving the outcome and avoids the morbidities and life-threatening course potentially.
Introduction
Endotracheal intubation is the gold standard to protect the airway during general anesthesia. It is the commonest technique in medical practice with a low complication rate.
Presentation of case
We report a case of left pyriform fossa perforation in a child after apparently uneventful nasotracheal intubation for tonsillectomy.
Discussion
This is a rare complication. Physicians performing endotracheal intubation or dealing with intubated patients should be aware of the clinical symptoms of such complications. A rational management approach has been discussed.
Conclusions
Early diagnosis is the mainstay to improve the outcome and avoid the morbidity and potentially life-threatening course of such trauma.
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