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Anesth Prog. 1986 Sep-Oct; 33(5): 245–246.
PMCID: PMC2177476

Unsuspected Failure of Nasotracheal Intubation

Abstract

This report describes a patient with a clinically normal airway who could not, even with the aid of a fiberoptic bronchoscope, be intubated nasotracheally. Failure was due to a large bony prominence projecting anteriorly into the nasopharynx from the body of the first cervical vertebrae. This bony prominence deflected both the endotracheal tube and fiberoptic tube anterolaterally such that they could not be aligned with the glottic opening for passage into the trachea. To our knowledge, this is the first reported case of “failure” of nasotracheal intubation associated with this anatomic abnormality.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • VERRILL PJ. ANAESTHESIA IN UPPER RESPIRATORY OBSTRUCTION. Br J Anaesth. 1963 Apr;35:237–249. [PubMed]
  • Aldrete JA. Nasotracheal intubation. Surg Clin North Am. 1969 Dec;49(6):1209–1215. [PubMed]
  • Nolan RT. Nasal intubation. An anatomical difficulty with Portex tubes. Anaesthesia. 1969 Jul;24(3):447–448. [PubMed]
  • Tahir AH. A simple manoeuvre to aid the passage of a nasotracheal tube into the oropharynx. Br J Anaesth. 1970 Jul;42(7):631–632. [PubMed]

Articles from Anesthesia Progress are provided here courtesy of American Dental Society of Anesthesiology