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Figure 2.; Placement of the Modified Nasal Endotracheal Tube (ETT) A, After insertion of the modified nasal ETT, the cuff was inflated via a pilot balloon. B, The inflated cuff was located around the posterior choana.
Yasuhiko Sakata,
 Saori Takagi,
 Shinnosuke Ando,
 Ryoko Kono,
 Yuki Kiyohara,
 Yuka Oono, and
 Hikaru Kohase
Figure 2.
Figure 2.

Placement of the Modified Nasal Endotracheal Tube (ETT)

A, After insertion of the modified nasal ETT, the cuff was inflated via a pilot balloon. B, The inflated cuff was located around the posterior choana.

Figure 1.; Modified Nasal Endotracheal Tube (ETT) With a Reattached Pilot Balloon A, Nasal ETT cut approximately 11 cm from the distal (cuffed) end. B, Pilot balloon tube cut obliquely from the proximal end of the ETT. C, Side hole of the ETT leading to the cuff. D, Cut pilot balloon tube inserted into the ETT side hole and fixed with cyanoacrylate adhesive.
Yasuhiko Sakata,
 Saori Takagi,
 Shinnosuke Ando,
 Ryoko Kono,
 Yuki Kiyohara,
 Yuka Oono, and
 Hikaru Kohase
Figure 1.
Figure 1.

Modified Nasal Endotracheal Tube (ETT) With a Reattached Pilot Balloon

A, Nasal ETT cut approximately 11 cm from the distal (cuffed) end. B, Pilot balloon tube cut obliquely from the proximal end of the ETT. C, Side hole of the ETT leading to the cuff. D, Cut pilot balloon tube inserted into the ETT side hole and fixed with cyanoacrylate adhesive.

Nasal Foreign Body: An Unexpected Discovery
Jeffrey S Yasny DDS and
 Stacy Stewart DMD
Article Category: Case Report
Volume/Issue: Volume 58: Issue 3
Online Publication Date: Jan 01, 2011
DOI: 10.2344/11-00016.1
Page Range: 121 – 123

Nasal foreign bodies (NFBs) have the potential to yield significant morbidity. An unusual case of a young child who presented for dental rehabilitation under general anesthesia is described. Immediately prior to the nasotracheal intubation, a foreign body was discovered and retrieved before any considerable injury occurred. This case report highlights the event, discusses the presentation and pathophysiology associated with NFBs, and provides pertinent suggestions for the prevention and management of such an unexpected incident. CASE

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Use of a Modified Endotracheal Tube for Postoperative Intranasal Hemorrhage
Yasuhiko Sakata DDS,
 Saori Takagi DDS, PhD,
 Shinnosuke Ando DDS,
 Ryoko Kono DDS,
 Yuki Kiyohara DDS,
 Yuka Oono DDS, PhD, and
 Hikaru Kohase DDS, PhD
Article Category: Case Report
Volume/Issue: Volume 71: Issue 1
Online Publication Date: May 03, 2024
DOI: 10.2344/anpr-70-03-09
Page Range: 34 – 38

cm, weight 51.3 kg, body mass index 18.8 kg/m 2 ) scheduled to undergo nasally intubated general anesthesia for orthognathic surgery. Given her maxillary prognathia and mandibular retrognathia, Le Fort I and bilateral sagittal split osteotomies were planned. The patient had a history of gastroesophageal reflux disease (GERD) that was treated 4 years previously with lansoprazole, but because of lansoprazole-induced exanthema, she was no longer taking that medication and denied any GERD symptoms. No other allergies were reported. There were no abnormalities noted on

Application of Gum Elastic Bougie to Nasal Intubation
Hirofumi Arisaka MD, DDS, PhD,
 Shigeki Sakuraba MD, PhD,
 Munetaka Furuya DDS, PhD,
 Kazutoshi Higuchi DDS,
 Hitoshi Yui DDS,
 Shuya Kiyama MD, PhD, and
 Kazu-ichi Yoshida DDS, PhD
Article Category: Research Article
Volume/Issue: Volume 57: Issue 3
Online Publication Date: Jan 01, 2010
DOI: 10.2344/0003-3006-57.3.112
Page Range: 112 – 113

In conventional nasal intubation, a tracheal tube is gently introduced into the nostril, followed by direct laryngoscopy. If the glottis cannot be visualized or the tube does not enter the glottis, the patient's head may be extended or flexed, or use of Magill forceps may be required. 1 However, despite multiple attempts, occasionally the tube cannot be passed into the trachea because the tip of the nasotracheal tube does not advance anteriorly into the larynx and trachea but courses posteriorly into the esophagus, or it could be

Perforation of the Nasal Septum Identified During a Preoperative Otorhinolaryngology Consultation: A Case Report
Takeshi Nakamura DDS,
 Takuya Uchida DDS, PhD,
 Yozo Manabe DDS, PhD, and
 Yoshihiro Momota DDS, PhD
Article Category: Brief Report
Volume/Issue: Volume 70: Issue 1
Online Publication Date: Mar 28, 2023
DOI: 10.2344/anpr-69-04-03
Page Range: 31 – 33

CASE PRESENTATION A 54-year-old woman (height 155 cm; weight 54 kg; body mass index 22.5 kg/m 2 ) was scheduled to undergo right partial glossectomy to treat squamous cell carcinoma of the tongue. Upon admission 2 days before surgery, the patient reported for the first time to the consulting anesthesiologist that she had undergone nasal surgery 20 years earlier. Although the patient did not have any subjective symptoms, the details of the prior nasal surgery were unknown. The anesthesiologist determined that it may impede nasotracheal

Modified Retrograde Nasal Intubation: A New Airway Technique and Devices
Vernon H. Vivian MBChB,
 Dip Anaes (SA),
 Tyson L. Pardon MD, and
 Andre A. J. Van Zundert MD, PhD, EDRA
Article Category: Research Article
Volume/Issue: Volume 68: Issue 2
Online Publication Date: Jun 29, 2021
DOI: 10.2344/anpr-68-02-03
Page Range: 107 – 113

spine injury, can make intubation difficult. Midfacial maxillary fractures may initially require orotracheal intubation for emergency airway management, followed by conversion to NTI to better facilitate proper alignment and surgical fixation. Attempting NTI may cause profuse epistaxis and create a false nasal passage, among many other more serious complications. Under such conditions, performing initial NTI prior to securing the airway orally may be contraindicated. To avoid the complications of NTI, anesthesiologists often use a flexible laryngeal mask

Partially Withdrawn Nasotracheal Tube: An Alternative to the Nasal Trumpet
Yong Hee Park MD, MSD,
 Young Jun Choi DDS, PhD,
 Won Cheul Choi DDS, PhD, and
 Ui Lyong Lee DDS, MSD
Article Category: Research Article
Volume/Issue: Volume 62: Issue 4
Online Publication Date: Jan 01, 2015
DOI: 10.2344/15-00013.1
Page Range: 166 – 167

After 2-jaw surgery, difficulty in breathing through the mouth and the nose is frequently observed due to nasal airway obstruction, edema of lips, cheeks, and tongue, intraoral bleeding, and sometimes maxillo-mandibular fixation. The nasopharyngeal airway (NPA) is usually inserted to facilitate breathing, tamponade nasal bleeding if present, and provide supplemental oxygen after extubation. The NPA is preferable in patients with limited mouth opening or those lightly anesthetized. 1 It is known to be useful for oxygen administration after

Endotracheal Tube Obstruction via Turbinectomy During Nasal Intubation
Robert Pierre II DMD and
 Harry Dym DDS
Article Category: Case Report
Volume/Issue: Volume 65: Issue 4
Online Publication Date: Jan 01, 2018
DOI: 10.2344/anpr-65-04-09
Page Range: 255 – 258

The nasal intubation technique first described in 1902 by Kuhn 1 has been the most commonly desired method of intubation for most maxillofacial surgical procedures. It is paramount for the anesthesiologist to have a strong foundation in the nasal anatomy to adequately understand the pathways of the endotracheal tube (ETT) and the associated complications during nasotracheal intubation. 1 Each patient is thoroughly assessed and examined to determine the potential risks to nasotracheal intubation versus oral intubation. The reported

Figure 1.; Nasally intubated child.
Jeffrey S Yasny and
 Stacy Stewart
Figure 1.
Figure 1.

Nasally intubated child.