Elective use of surgical cricothyroidotomy for maxillofacial fracture fixation with contraindication of nasotracheal intubation: a case reportReportar como inadecuado




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JA Clinical Reports

, 1:16

First Online: 16 October 2015Received: 10 June 2015Accepted: 12 October 2015

Abstract

We report three cases of airway management with elective surgical cricothyroidotomy SCT for anesthetic management during surgical repair of maxillofacial injury involving basal skull fracture or nasal-bone fracture. In all patients, general anesthesia was induced, a supraglottic airway SGA device inserted, and SCT performed. Tracheal intubation was performed through SCT site, and the SGA device was removed. After surgery of maxillofacial fixation, the SGA device was re-inserted and the tracheal tube was removed. No major complications, such as subglottic stenosis or voice change, occurred. SCT holds potential as an alternative to tracheostomy because of ease of performance, fewer complications, and better cosmetic outcomes.

KeywordsSurgical cricothyroidotomy Maxillofacial surgery Tracheostomy Subglottic stenosis AbbreviationsCTMCricothyroid membrane

ORFOpen reduction and fixation surgery

SCTSurgical cricothyroidotomy

SGASupraglottic airway

Electronic supplementary materialThe online version of this article doi:10.1186-s40981-015-0021-6 contains supplementary material, which is available to authorized users.

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Autor: Masayuki Kuroiwa - Kenichi Kumazawa - Sohei Ito - Masayasu Arai - Hirotsugu Okamoto

Fuente: https://link.springer.com/







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