Anti-Bedsore Heel Disc for Nasotracheal Tube Stabilization during Mandibular Asymmetry Surgery and Stable Bone Osteosynthesis—Surgeon and Anesthesiologist Surgical Comfort

Abstract

Nowadays, maxillo-facial surgery procedures are greatly dependent on good general anesthesia and adequate maintenance care of the airways. Nasotracheal intubation (NTI) is one of the most common ones, especially in orthognathic surgery, temporomandibular joint-related surgeries, or others. Nasotracheal intubation itself is not a problem; however, maintaining its stable and safe position, regardless of the excess of surgical maneuvers in the facial skeleton, is important. There are a lot of techniques, personal modifications, and materials used to support tube placement. It is quite common that either plaster or a bandage roll can be useful with a combination of various forms of sponges or wipes in different shapes, sizes, and elasticity to support the tube’s adequate position, especially when maintaining a good shape and position of the nose and symmetry line and avoiding unnecessary tube flexion. In the following paper, one of the tube support alternatives with an anti-bedsore heel disc will be presented.