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Perforation of the Nasal Septum Identified During a Preoperative Otorhinolaryngology Consultation: A Case Report
Takeshi NakamuraDDS,
Takuya UchidaDDS, PhD,
Yozo ManabeDDS, PhD, and
Yoshihiro MomotaDDS, 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

intubation, and thus, the patient was promptly referred to our hospital's department of otorhinolaryngology. After evaluation, she was found to have undergone a septoplasty. Preoperative endoscopy and computed tomography (CT) revealed a nasal septum perforation measuring 14 mm vertically and 24 mm horizontally ( Figure 1 ). In addition, the otorhinolaryngologist reported that intubation through the left nasal cavity was likely to cause the endotracheal tube (ETT) to migrate through the perforation and into the right nasal cavity, which carried an increased risk of

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Figure 1.; Clinical and Radiographic Imaging of the Nasal Septal Perforation. Size and location of nasal septal perforation as seen through the left lateral nasal cavity by bronchoscope and computed tomography.
Takeshi Nakamura,
Takuya Uchida,
Yozo Manabe, and
Yoshihiro Momota
Figure 1.
Figure 1.

Clinical and Radiographic Imaging of the Nasal Septal Perforation.

Size and location of nasal septal perforation as seen through the left lateral nasal cavity by bronchoscope and computed tomography.

Figure 2.; Contralateral Intranasal View During Intubation. View of the nasal endotracheal tube as seen from the contralateral side of the septal perforation.
Takeshi Nakamura,
Takuya Uchida,
Yozo Manabe, and
Yoshihiro Momota
Figure 2.
Figure 2.

Contralateral Intranasal View During Intubation.

View of the nasal endotracheal tube as seen from the contralateral side of the septal perforation.

A Case of Laryngeal Granuloma Likely Caused by Laryngopharyngeal Reflux Disease Following a Sagittal Split Ramus Osteotomy
Mami NakamuraDDS,
Akio UdaDDS, PhD,
Naokazu KataokaDDS,
Kana NagasakaDDS,
Kazuhisa TamashigeDDS,
Daichi MoriDDS,
Hideo NiwaMD, PhD, and
Koh ShibutaniDDS, PhD
Article Category: Brief Report
Volume/Issue: Volume 64: Issue 4
Online Publication Date: Jan 01, 2017
DOI: 10.2344/anpr-64-02-12
Page Range: 248 – 250

, Nomura K, Honjo I, Hirano M. Mook of oto-rhino-laryngology head and neck surgery [in Japanese]. 1st ed . Tokyo, Japan : Kanehara Shuppan; 1992 . 7 Oyama S, Hamajima Y, Watanabe

Use of a Modified Endotracheal Tube for Postoperative Intranasal Hemorrhage
Yasuhiko SakataDDS,
Saori TakagiDDS, PhD,
Shinnosuke AndoDDS,
Ryoko KonoDDS,
Yuki KiyoharaDDS,
Yuka OonoDDS, PhD, and
Hikaru KohaseDDS, 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

, The inflated cuff was located around the posterior choana. At 0930 on the first postoperative day, the patient reported marked pressure/pain associated with the transnasal airways and balloon as well as pharyngeal pain. The transnasal airways and the remaining epinephrine-soaked gauze and sponges were removed after confirming the absence of epistaxis and presence of a patent airway. On the seventh postoperative day, the patient complained of nasal obstruction and consulted otorhinolaryngology in our university hospital. Retained blood clots and mucosal