• Oral Maxillofac Surg · May 2008

    Case Reports

    Acute upper airway failure and mediastinal emphysema following a wire-guided percutaneous cricothyrotomy in a patient with severe maxillofacial trauma.

    • R Barkhuysen, M A W Merkx, P A van Damme, O R Buyne, and F J A van den Hoogen.
    • Department of Oral and Maxillofacial Surgery, Radboud University Nijmegen Medical Centre, P.O. Box 9101, Nijmegen, HB 6500, The Netherlands.
    • Oral Maxillofac Surg. 2008 May 1; 12 (1): 35-8.

    BackgroundIn the presence of severe maxillofacial trauma, management of the airway is important because this condition poses a significant threat to airway patency. That securing the airway is not always straightforward is described and illustrated in this paper.CaseWe present the case of a 23-year-old patient who sustained severe maxillofacial injury for which airway control was necessary. A wire-guided percutaneous dilation cricothyrotomy was performed, which was most probably the cause of an acute loss of airway patency. The literature regarding the role of percutaneous techniques in an elective and emergency setting is reviewed.

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