Journal of dental anesthesia and pain medicine
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J Dent Anesth Pain Med · Dec 2016
Case ReportsPharyngeal flap damage caused by nasotracheal intubation in a patient who underwent palatoplasty and pharyngoplasty.
Patients with cleft lip and palate (CLP) must undergo corrective surgeries during infancy and early childhood. Many patients with CLP undergo orthognathic surgery during their childhood for correction of skeletal asymmetries or pharyngoplasty with a pharyngeal flap to improve the quality of speech and velopharyngeal function. During orthognathic surgeries, nasotracheal intubation is performed under general anesthesia. ⋯ Bleeding occurred because the flap was torn. After achieving hemostasis, the surgery was completed successfully. Thus, if a patient may show the potential for velopharyngeal port obstruction, nasotracheal intubation should be performed with utmost care.