Arch Otolaryngol
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Case Reports
Inadvertent endobronchial intubation with nasogastric tube. Occurrence after head and neck surgery.
Inadvertent endobronchial intubation with nasogastric tubes is hazardous. Massive aspiration can be fatal after nasogastric feeding. In this study, methods of blind nasogastric tube insertion and conventional techniques of confirming the site of the tube are discussed. We stress that direct laryngoscopy either during or immediately after placement or a chest roentgenogram should be considered in the case of nasogastric feeding after major head and neck surgery.
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Malignant hyperthermia (MH) is one of the most devastating crises encountered in medicine, and it frequently occurs unexpectedly. Since a patient's survival depends on early detection and treatment, a high index of suspicion must be maintained not only by the anesthesiological but also by all surgical personnel in the operating room. ⋯ The surgical procedure should be promptly stopped, and medical therapy should be started. Step-by-step treatment of this threatening complication of anesthesia is necessary.
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Pierre Robin syndrome is a triad of micrognathia, glossoptosis, and cleft palate that results in upper airway obstruction and feeding problems. This syndrome occurred in six cases; five of these cases required surgical correction to alleviate the airway problems. ⋯ The patients have had resolution of the airway and feeding problems, with early discharge from the hospital. There has been minimal morbidity and no mortality associated with the procedure.
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Abscess of the lingual tonsil is an unusual entity that may cause diagnostic difficulty. The pathophysiologic mechanism of formation was correlated with normal posterior tongue histology in a case of lingual tonsillar abscess.