Esin Demir, Ahmet Erseçgin, Cagdas Elsurer, M. Bozkurt
{"title":"限制开口颌面外科病人插管困难致气胸","authors":"Esin Demir, Ahmet Erseçgin, Cagdas Elsurer, M. Bozkurt","doi":"10.15713/ins.ijmdcr.143","DOIUrl":null,"url":null,"abstract":"Orofacial pathologies conjoined with restricted mouth opening are challenging due to difficulties in intubation. The aim of this case report is to present a case who developed pneumothorax related with general anesthesia caused by difficult intubation and discuss the reasons of this fatal complication. A 54-year-old male patient who presented with pathological fracture of the mandible secondary to osteoradionecrosis was planned for surgical treatment under general anesthesia. Following several attempts of intubation, tracheostomy was performed to secure airway. The patient has developed pneumothorax at post-anesthesia recovery. Severe trismus is a complicating factor for both anesthesia and surgery as positive pressure that is applied during intubation attempts may trigger pneumothorax. caused by difficult intubation in maxillofacial surgery patient with restricted mouth opening. Int J Med Dent Case Rep 2020;7:1-3.","PeriodicalId":335352,"journal":{"name":"International Journal of Medical and Dental Case Reports","volume":"24 1","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Pneumothorax caused by difficult intubation in maxillofacial surgery patient with restricted mouth opening\",\"authors\":\"Esin Demir, Ahmet Erseçgin, Cagdas Elsurer, M. Bozkurt\",\"doi\":\"10.15713/ins.ijmdcr.143\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Orofacial pathologies conjoined with restricted mouth opening are challenging due to difficulties in intubation. The aim of this case report is to present a case who developed pneumothorax related with general anesthesia caused by difficult intubation and discuss the reasons of this fatal complication. A 54-year-old male patient who presented with pathological fracture of the mandible secondary to osteoradionecrosis was planned for surgical treatment under general anesthesia. Following several attempts of intubation, tracheostomy was performed to secure airway. The patient has developed pneumothorax at post-anesthesia recovery. Severe trismus is a complicating factor for both anesthesia and surgery as positive pressure that is applied during intubation attempts may trigger pneumothorax. caused by difficult intubation in maxillofacial surgery patient with restricted mouth opening. Int J Med Dent Case Rep 2020;7:1-3.\",\"PeriodicalId\":335352,\"journal\":{\"name\":\"International Journal of Medical and Dental Case Reports\",\"volume\":\"24 1\",\"pages\":\"0\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"1900-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International Journal of Medical and Dental Case Reports\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.15713/ins.ijmdcr.143\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Medical and Dental Case Reports","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.15713/ins.ijmdcr.143","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Pneumothorax caused by difficult intubation in maxillofacial surgery patient with restricted mouth opening
Orofacial pathologies conjoined with restricted mouth opening are challenging due to difficulties in intubation. The aim of this case report is to present a case who developed pneumothorax related with general anesthesia caused by difficult intubation and discuss the reasons of this fatal complication. A 54-year-old male patient who presented with pathological fracture of the mandible secondary to osteoradionecrosis was planned for surgical treatment under general anesthesia. Following several attempts of intubation, tracheostomy was performed to secure airway. The patient has developed pneumothorax at post-anesthesia recovery. Severe trismus is a complicating factor for both anesthesia and surgery as positive pressure that is applied during intubation attempts may trigger pneumothorax. caused by difficult intubation in maxillofacial surgery patient with restricted mouth opening. Int J Med Dent Case Rep 2020;7:1-3.