Life-threatening nasotracheal tube obstruction by a blood clot: a case report
The nasotracheal tube (NTT) is frequently used in oral and maxillofacial surgery and is generally considered a safe means of protecting the airway while ensuring an adequate surgical field. The most common complication associated with NTT is epistaxis, and only a few cases of foreign body obstructio...
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| Format: | Article |
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Korean Society of Traumatology
2024-09-01
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| Series: | Journal of Trauma and Injury |
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| Online Access: | http://jtraumainj.org/upload/pdf/jti-2023-0084.pdf |
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| author | Dajeong Lee Chan Yong Park Sang Wha Kim |
| author_facet | Dajeong Lee Chan Yong Park Sang Wha Kim |
| author_sort | Dajeong Lee |
| collection | DOAJ |
| description | The nasotracheal tube (NTT) is frequently used in oral and maxillofacial surgery and is generally considered a safe means of protecting the airway while ensuring an adequate surgical field. The most common complication associated with NTT is epistaxis, and only a few cases of foreign body obstruction have been reported. In this case report, the authors aimed to highlight the potential for NTT obstruction following surgery. A 24-year-old female patient, who underwent mandibuloplasty and rhinoplasty at a local clinic, was referred to our hospital patient due to dyspnea and edema on her right mandibular angle. Even with NTT, patient continued to experience mild dyspnea and tachypnea, so a T-piece was applied. However, tachycardia accompanied by a sudden worsening of dyspnea was observed, and bag-valve-mask ventilation was initiated promptly. But oxygen saturation remained unimproved, so an emergency cricothyroidotomy was performed. After 4 hours, the patient’s condition stabilized. Upon examination, the previously inserted NTT was identified, and a blood clot approximately 10 cm long at the NTT tip was discovered, causing lumen obstruction. The obstructions of NTT can lead to serious or life-threatening consequences if left unobserved or ignored. Therefore, when a patient with an NTT complains of dyspnea, clinicians should promptly investigate the possibility of partial NTT obstruction to ensure the airway’s security. |
| format | Article |
| id | doaj-art-753894fb903548589cbb92160c03f722 |
| institution | Kabale University |
| issn | 2799-4317 2287-1683 |
| language | English |
| publishDate | 2024-09-01 |
| publisher | Korean Society of Traumatology |
| record_format | Article |
| series | Journal of Trauma and Injury |
| spelling | doaj-art-753894fb903548589cbb92160c03f7222025-01-16T06:10:27ZengKorean Society of TraumatologyJournal of Trauma and Injury2799-43172287-16832024-09-0137322022310.20408/jti.2023.00841293Life-threatening nasotracheal tube obstruction by a blood clot: a case reportDajeong Lee0Chan Yong Park1Sang Wha Kim2 Department of Emergency Medicine, Seoul National University Hospital, Seoul, Korea Division of Trauma Surgery, Department of Surgery, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea Department of Plastic and Reconstructive Surgery, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, KoreaThe nasotracheal tube (NTT) is frequently used in oral and maxillofacial surgery and is generally considered a safe means of protecting the airway while ensuring an adequate surgical field. The most common complication associated with NTT is epistaxis, and only a few cases of foreign body obstruction have been reported. In this case report, the authors aimed to highlight the potential for NTT obstruction following surgery. A 24-year-old female patient, who underwent mandibuloplasty and rhinoplasty at a local clinic, was referred to our hospital patient due to dyspnea and edema on her right mandibular angle. Even with NTT, patient continued to experience mild dyspnea and tachypnea, so a T-piece was applied. However, tachycardia accompanied by a sudden worsening of dyspnea was observed, and bag-valve-mask ventilation was initiated promptly. But oxygen saturation remained unimproved, so an emergency cricothyroidotomy was performed. After 4 hours, the patient’s condition stabilized. Upon examination, the previously inserted NTT was identified, and a blood clot approximately 10 cm long at the NTT tip was discovered, causing lumen obstruction. The obstructions of NTT can lead to serious or life-threatening consequences if left unobserved or ignored. Therefore, when a patient with an NTT complains of dyspnea, clinicians should promptly investigate the possibility of partial NTT obstruction to ensure the airway’s security.http://jtraumainj.org/upload/pdf/jti-2023-0084.pdfnasotracheal tubecricothyroidotomyairwaythrombuscase reports |
| spellingShingle | Dajeong Lee Chan Yong Park Sang Wha Kim Life-threatening nasotracheal tube obstruction by a blood clot: a case report Journal of Trauma and Injury nasotracheal tube cricothyroidotomy airway thrombus case reports |
| title | Life-threatening nasotracheal tube obstruction by a blood clot: a case report |
| title_full | Life-threatening nasotracheal tube obstruction by a blood clot: a case report |
| title_fullStr | Life-threatening nasotracheal tube obstruction by a blood clot: a case report |
| title_full_unstemmed | Life-threatening nasotracheal tube obstruction by a blood clot: a case report |
| title_short | Life-threatening nasotracheal tube obstruction by a blood clot: a case report |
| title_sort | life threatening nasotracheal tube obstruction by a blood clot a case report |
| topic | nasotracheal tube cricothyroidotomy airway thrombus case reports |
| url | http://jtraumainj.org/upload/pdf/jti-2023-0084.pdf |
| work_keys_str_mv | AT dajeonglee lifethreateningnasotrachealtubeobstructionbyabloodclotacasereport AT chanyongpark lifethreateningnasotrachealtubeobstructionbyabloodclotacasereport AT sangwhakim lifethreateningnasotrachealtubeobstructionbyabloodclotacasereport |