Accidental transection of flexometallic endotracheal tube during partial maxillectomy

Abstract

We report a rare case of an 18-year-old female patient in whom accidental sectioning of flexometallic endotracheal tube occurred during partial maxillectomy for mass lesion under general anaesthesia. She was managed successfully by tracheostomy.

Unique mishap following transfacial pin fixated midface distraction and successful management using nasal endoscopy

“…Transection of intranasal endotracheal tube during maxillofacial procedures is one of the complications that has been reported in literature. Such mishaps are life-threatening and need to be addressed immediately using fibre-optic bronchoscope/tube exchanger and so on 5–7. However, perforation of the nasogastric tube has never been reported to the best of our literature search.…”

An Unusual Lacerated Tracheal Tube during Le Fort Surgery: Literature Review and Case Report

“…Schwartz et al described an inability to withdraw the TT more than a few millimeters, where the lacerated end of the tube had formed a barb that caught on a bone snag; their patient was extubated successfully after the lacerated TT was sealed with cement prior to removal [5]. In another case report, a completely severed, wire-reinforced TT obstructed the airway, thereby requiring a surgical airway [6]. Valentine and Kaban reported a case where the pilot tube was severed and the heat from the surgical drill occluded the distal pilot balloon inflation line resulting in a permanently inflated cuff, which complicated the removal of the TT [7].…”

Difficulty in diagnosing physical damage to the airway tube of the ProSeal laryngeal mask airway

“…[123] However, we managed our situation in a unique way because of the possibility of difficulty in handling the airway as the child was placed midway on the operating table in the lithotomy position. Prior knowledge about the usefulness of a ProSeal LMA™ for intubation and correct knowledge of the maximum size tracheal tube that might pass through a size 2 ProSeal LMA™ helped us in rapidly resolving the problem.…”

“…As per the current practice to ensure safety in cases of reinforced tubes,[1234] internal as well as external evaluation of the reinforced airway lumen of ProSeal LMA™ was done by both the anaesthesia technician and the anaesthesiologist preoperatively. However, both could not identify the damage because the horizontal slit in the lumen of the reinforced tube was difficult to notice when the device was in its anatomical position.…”