scholarly journals Submandibular Approach for Tracheal Intubation in Oro-maxillofacial Surgery: An Initial Experience in a Dental College Hospital in Bangladesh

2017 ◽  
Vol 1 (2) ◽  
pp. 41-46
Author(s):  
Md Shahadat Hossain ◽  
Hasina Begum ◽  
Ismat Ara Haider ◽  
Md. Selim Sarker
Keyword(s):  
Tracheal Intubation ◽  
Airway Management ◽  
Main Bronchus ◽  
Maxillofacial Surgery ◽  
Upper Airway ◽  
Dental Occlusion ◽  
College Hospital ◽  
The Right ◽  
Age Range ◽  
Oromaxillofacial Surgery

Background: Tracheal intubation in oro-maxillofacial surgery is an important issue during operation. Objective: The purpose of the present study was to demonstrate the feasibility and the reliability of submandibular tracheal intubation as an alternative method for airway management in oro-maxillofacial surgery. Methodology: This clinical trial was conducted in the Department of oromaxillofacial Surgery at Dhaka Dental College and Hospital, Dhaka from January 2010 to June 2011 for a period of one and half year. Patients suffering from painful fractures associated with displaced nasal fracture were selected as study population. Results: A total number of 9 patients were recruited for this study of which 1 was female and 8 were males and the age range was between 16 to 51 years. The technique was found easy and offers a secure airway to the anaesthetist, an optimal operating field and an opportunity to check the dental occlusion with limited morbidity for the patient. In all patients the submandibular tracheal tube was extubated after the operation without complications or difficulties. Accidental dislodgement of the tube to the right main bronchus occurred in one patient while carrying out the procedure. It was rapidly detectedand corrected. No other complications were encountered. Conclusion: Submandibular tracheal intubation is a safe, simple and effective technique for upper airway management when both oral and nasal tracheal intubations are not convenient in some oromaxillofacial surgery. Journal of National Institute of Neurosciences Bangladesh, 2015;1(2): 41-46

Tracheal Bronchus: Classification, Endoscopic Analysis, and Airway Management

2002 ◽  
Vol 126 (3) ◽  
pp. 240-243 ◽  
Author(s):  
Andrew M. Doolittle ◽  
Eric A. Mair
Keyword(s):  
Congenital Anomaly ◽  
Airway Management ◽  
Main Bronchus ◽  
Case Series ◽  
Tracheal Bronchus ◽  
Lobe Bronchus ◽  
Retrospective Case ◽  
Tracheal Diverticulum ◽  
Pediatric Bronchoscopy ◽  
The Right

OBJECTIVE: Tracheal bronchus ( bronchus suis) is an unusual congenital anomaly in which the right upper lobe has its origin in the trachea rather than distal to the carina. We sought to analyze the anatomy, presentation, and airway management principles of tracheal bronchi, and we present the first endoscopically documented tracheal diverticulum. STUDY DESIGN/METHODS: Retrospective case series. RESULTS: The tracheal bronchus is located at the junction of the mid and distal thirds of the right lateral trachea, is more common in males and children with other congenital anomalies, and may be associated with right main bronchus stenosis. Bronchoscopy provides a clear definitive view of the anomaly, which we found in 5 children during a 12-year period (0.5% of pediatric bronchoscopy procedures). We illustrate 3 types of tracheal bronchi: (1) vestigial tracheal diverticulum (newly described), (2) high apical lobe, and (3) fully developed supranumerary aerated tracheal bronchus. Endoscopic documentation of each type is presented. Children with tracheal bronchi may present with stridor, cough, and/or recurrent right-sided pneumonia and/or to have foreign body aspiration ruled out. Treatment is based on the severity of symptoms and ranges from observation to right upper lobectomy. CONCLUSIONS: Otolaryngologists should be aware of the tracheal bronchus, to include classification, endoscopic analysis, and airway management of this uncommon anomaly. Bronchoscopy with selected radiographic imaging allows the otolaryngologist to fully evaluate the child with a tracheal bronchus and to present timely therapeutic options. Tracheal bronchus is a congenital anomaly in which a right upper lobe bronchus has its origin in the trachea rather than at the carina. Bronchus suis, or “pig bronchus,” is an alternate name that is used because a tracheal bronchus is normal in swine and other ruminant animals. In approximately 1000 pediatric bronchoscopy procedures performed by the senior author during a 12-year period, only 5 children (approximately 0.5%) were identified with a tracheal bronchus. We present 3 representative cases to highlight salient features of each variant of the tracheal bronchus. A newly described “tracheal diverticulum” variant is presented. Tracheal bronchus classification based on endoscopic analysis assists with airway management for this uncommon anomaly.

scholarly journals A rare case of type II negative pressure pulmonary edema following extraction of inhaled peanuts in a 21-month-old boy

2021 ◽  
Vol 49 (9) ◽  
pp. 030006052110477
Author(s):  
Qin Li ◽  
Liang Zhou
Keyword(s):  
Pulmonary Edema ◽  
Negative Pressure ◽  
Main Bronchus ◽  
Fiberoptic Bronchoscopy ◽  
Upper Airway ◽  
Type Ii ◽  
Computed Tomographic ◽  
Negative Pressure Pulmonary Edema ◽  
Positive Airway Pressure Ventilation ◽  
The Right

To date, only one case of pediatric type II negative pressure pulmonary edema (NPPE) caused by removal of an endobronchial foreign body has been documented. We report another case of type II NPPE that developed after extraction of inhaled peanuts. A 21-month-old boy who presented with wheezing and intermittent cough for 1 month after eating peanuts was admitted to our department. A chest computed tomographic scan showed foreign bodies lodged in the right main bronchus. Fiberoptic bronchoscopy was performed, and three pieces of peanuts were removed. Fifteen minutes after this procedure, the child grew restless and started coughing with frothy pink sputum. Tachypnea and rales were observed. A chest radiograph showed patchy opacification in both lungs, especially in the right lower zone, leading to the diagnosis of type II NPPE. Intravenous furosemide and dexamethasone were immediately administered, followed by non-invasive continuous positive airway pressure ventilation. Twelve hours later, the patient recovered uneventfully and was discharged home the following day. In conclusion, pediatric type II NPPE rapidly occurs following the relief of upper airway obstruction. Clinicians need to be aware of the acuteness and manifestations of type II NPPE to make an early diagnosis and initiate prompt treatment.

scholarly journals Submandibular approach for orotracheal intubation in Oral and Maxillofacial Surgery and Traumatology

2021 ◽  
Vol 10 (12) ◽  
pp. e49101220158
Author(s):  
Edela Puricelli ◽  
Deise Ponzoni
Keyword(s):  
Tracheal Intubation ◽  
Maxillofacial Surgery ◽  
Orotracheal Intubation ◽  
Dental Occlusion ◽  
Oral And Maxillofacial Surgery ◽  
Facial Skeleton ◽  
Multiple Fractures ◽  
Adjacent Structures ◽  
Intraoperative Control ◽  
The Face

Introduction: Submandibular tracheal intubation is a technique that can be applied in Oral and Maxillofacial Surgery and Traumatology, as well as other surgical specialties. Its main advantages are helping in the surgical manipulation of the middle facial skeleton and jaw and allowing the intraoperative control of dental occlusion. The technique is an alternative to elective tracheostomy. Objective and case report: The article presents the treatment of an adult patient, with sequelae of multiple fractures in the face due to a car accident, with endotracheal intubation using submandibular approach. Final considerations: In large surgical manipulations of the face, the submandibular approach for tracheal intubation allows a faster, facilitated anatomical access with a lower risk of damage to adjacent structures when compared to other pathways. It also guarantees excellent cervical mobility, the possibility of wide manipulation and the use of occlusion as a guide for surgical intervention.

scholarly journals Wheezy adult with chicken bone in the chest

2018 ◽  
Vol 7 (1) ◽  
pp. 310
Author(s):  
Bhavana Venkata Nagabhushna Rao ◽  
Narmada Vatti ◽  
Balaraju Tadikonda ◽  
Srinivasa Perraju Ponnapalli
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Main Bronchus ◽  
Three Dimensional ◽  
Upper Airway ◽  
Airway Disease ◽  
Virtual Bronchoscopy ◽  
Chicken Bone ◽  
Chronic Airway Disease ◽  
The Right

A large foreign body aspiration in a healthy adult is rare in the literature. It is a frequent problem in children and adolescents. Adults are affected in altered sensorium, either due to sedation or neurological problems. Acute upper airway obstruction though rare in adults requires establishment of an airway using Laryngoscope or rigid bronchoscope. At times we have to recourse to tracheostomy to save the life. Foreign body often travels down the right sided airways, here we present a case of 30mm Chicken bone being lodged in the left main bronchus. The patient presented with unremitting cough and normal chest skiagram. Monophonic wheeze on auscultation and focused attention on the patient narration made us clinch the diagnosis. New onset wheezy chest or unremitting chronic airway disease on adequate therapy, with history of choking needs special attention. The CT scan is a better modality of the investigation. Three dimensional CT with multi-slice virtual bronchoscopy is advantageous. We discussed foreign body aspirations in adults, the various causes and presentations. Fiber optic bronchoscopy is the ideal method for visualization and extraction of non-life-threatening foreign bodies in adults. Once a foreign body is identified, it has to be removed as early as possible. Retained foreign bodies can precipitate many complications related to infection and inflammation. At rare incidence we may have to resort to thoracotomy to remove a complicated foreign body.

scholarly journals Submental endotracheal intubation in patient with panfacial fracture: a useful alternative to tracheostomy

2014 ◽  
Vol 26 (1) ◽  
pp. 54-57
Author(s):  
Shahadat Hossain ◽  
Hasina Begum ◽  
Ismat Ara Haider ◽  
Selim Sarker
Keyword(s):  
Tracheal Intubation ◽  
Endotracheal Intubation ◽  
Maxillofacial Surgery ◽  
Dental Occlusion ◽  
Facial Fractures ◽  
Optimal Operating ◽  
Operating Field ◽  
Submental Intubation ◽  
Panfacial Fracture

Submental intubation is a simple safe and useful technique for air way management during maxillofacial surgery when both nasal and oral tracheal intubation are deemed unsuitable. This technique offers an optimal operating field and an opportunity to check the dental occlusion. It avoids the need for tracheostomy and its consequent morbidity. We present a case of multiple facial fractures where we avoided tracheostomy by the use of submental endotracheal intubation. DOI: http://dx.doi.org/10.3329/jbsa.v26i1.19818 Journal of Bangladesh Society of Anaesthesiologists 2013; 26(1): 54-57

scholarly journals Impacted tooth brush in retromolar area: a practical management of difficult airway

2015 ◽  
Vol 1 (1) ◽  
pp. 51-54 ◽  
Author(s):  
Gopendra Prasad Deo ◽  
Prakash Chandra Majhi
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Tracheal Intubation ◽  
Airway Management ◽  
Difficult Airway ◽  
Foreign Bodies ◽  
Impacted Tooth ◽  
Operative Complications ◽  
Retromolar Region ◽  
The Right

Proper airway management is an important skill for an Anaesthesiologist. This case report deals with airway management performed in a forty five years lady, with impacted tooth brush in the retromolar region on the right side. She was intubated and the foreign body was removed surgically without any peri-operative complications. This case report discusses the complications and management of oropharyngeal injuries by stick-like foreign bodies such as a toothbrush or a chopstick. The article also focuses on basic airway management and some tracheal intubation techniques that may be performed to solve a difficult airway.Journal of Society of Anesthesiologists 2014 1(1): 51-54

scholarly journals Have You Seen My Teeth? A Case with an Extraordinary Radiologic Finding

2016 ◽  
Vol 02 (01) ◽  
pp. e49-e50 ◽  
Author(s):  
Serdar Evman ◽  
Yelda Tezel ◽  
Melis Evman ◽  
Çagatay Tezel
Keyword(s):  
Emergency Department ◽  
Main Bronchus ◽  
Upper Airway ◽  
Rigid Bronchoscopy ◽  
Acute Dyspnea ◽  
Radiologic Finding ◽  
Partial Obstruction ◽  
X Ray ◽  
Chest X Ray ◽  
The Right

A 55-year-old man was admitted to the emergency department with severe dyspnea and hoarseness, starting immediately after a hypotensive syncope attack at home. Pulmonary auscultation revealed generalized stridor and right-sided wheezing, with no finding in the upper airway on direct laryngoscopy. Chest X-ray and computed thorax tomography revealed a high-density foreign body on the carina, causing partial obstruction in the right main bronchus. The fractured dental plate, probably aspirated during the syncope attack, was successfully removed by rigid bronchoscopy. The postoperative period was uneventful and the patient was discharged on the same day. Rapid physical and radiologic examination of patients with severe acute dyspnea is vital for determining the treatment modality and preventing any potential mortality.

Airway management

2007 ◽  
pp. 259-266
Keyword(s):  
Tracheal Intubation ◽  
Respiratory Tract ◽  
Airway Management ◽  
Airway Obstruction ◽  
Failure Rate ◽  
Upper Airway ◽  
Upper Airway Obstruction ◽  
Positive Pressure ◽  
High Failure Rate ◽  
Advanced Airway

Aims of airway management 260 Upper airway obstruction 260 Airway manoeuvres 261 Ventilation 266 • To relieve upper airway obstruction. • To facilitate positive pressure ventilation. • To protect respiratory tract from aspiration of gastric contents. Upper airway obstruction is a commonly encountered emergency and is often relieved by simple basic airway manoeuvres. Although many patients will go on to require more advanced management (e.g. tracheal intubation), such procedures carry a high failure rate and should not be performed by inexperienced practitioners. However, it is still useful to have a good knowledge about advanced airway manoeuvres as it enables the non-anaesthetist to prepare some of the equipment needed and to assist during the procedure once expert help has arrived....

Sign in / Sign up

Export Citation Format

Share Document