Kensuke Naganawa , Haruki Sato , Taihei Hayakawa , Shoya Ono , Sanako Nakaya , Ichiro Oh-iwa
{"title":"Three cases of maxillofacial fracture with delayed airway stenosis","authors":"Kensuke Naganawa , Haruki Sato , Taihei Hayakawa , Shoya Ono , Sanako Nakaya , Ichiro Oh-iwa","doi":"10.1016/j.ajoms.2023.10.007","DOIUrl":null,"url":null,"abstract":"<div><p><span><span>Airway management is a major concern </span>in patients with maxillofacial fractures because compromised airways can lead to death. Of the 414 maxillofacial fracture patients that visited our department between January 2008 and December 2017, three developed delayed airway stenosis and later required airway management. The fracture types were </span>panfacial fractures<span><span> (n = 1) and comminuted mandibular fractures<span> (n = 2). The causes of injury included one case of traffic accident, one case of tumble, and one case of blow. Of the three patients, two underwent tracheostomy and one underwent oral </span></span>intubation<span>. The causes of airway stenosis were hemorrhage in two cases and glossoptosis<span> in one case. The airway was secured by tracheostomy in two cases and endotracheal intubation in one case. All patients were successfully treated.</span></span></span></p></div>","PeriodicalId":45034,"journal":{"name":"Journal of Oral and Maxillofacial Surgery Medicine and Pathology","volume":null,"pages":null},"PeriodicalIF":0.4000,"publicationDate":"2023-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Oral and Maxillofacial Surgery Medicine and Pathology","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2212555823002375","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}
引用次数: 0
Abstract
Airway management is a major concern in patients with maxillofacial fractures because compromised airways can lead to death. Of the 414 maxillofacial fracture patients that visited our department between January 2008 and December 2017, three developed delayed airway stenosis and later required airway management. The fracture types were panfacial fractures (n = 1) and comminuted mandibular fractures (n = 2). The causes of injury included one case of traffic accident, one case of tumble, and one case of blow. Of the three patients, two underwent tracheostomy and one underwent oral intubation. The causes of airway stenosis were hemorrhage in two cases and glossoptosis in one case. The airway was secured by tracheostomy in two cases and endotracheal intubation in one case. All patients were successfully treated.
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