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Throat packing via nasopharyngeal airway for severe trismus cases requiring surgical intervention under general anesthesia: A simplified and innovative approach.
Kumar, Jitendra; Rai, Anshul J; Verma, Dinesh Kumar; Lal, Babu; Kumar, Shailesh; Bhatti, Zenish R.
Afiliación
  • Kumar J; Department of Dentistry, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India. Electronic address: jsinha53@gmail.com.
  • Rai AJ; Department of Dentistry, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India. Electronic address: anshul.dentalsurgery@aiimsbhopal.edu.in.
  • Verma DK; Department of Dentistry, All India Institute of Medical Sciences, Bilaspur, Himachal Pradesh, India.
  • Lal B; Department of Trauma and Emergency Medicine, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India. Electronic address: blsoni.tem@aiimsbhopal.edu.in.
  • Kumar S; AIIMS, Bhopal, India; Department of Dentistry, All India Institute of Medical Sciences, Gorakhpur, Uttar Pradesh, India.
  • Bhatti ZR; Department of Dentistry, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India.
J Stomatol Oral Maxillofac Surg ; : 101944, 2024 Jun 07.
Article en En | MEDLINE | ID: mdl-38852622
ABSTRACT
Throat packing is essential in oral and maxillofacial surgeries to prevent blood and tissue debris aspiration, reducing postoperative complications. Traditional oral route methods are often inadequate, especially in severe trismus cases like Oral Submucous Fibrosis (OSMF), TMJ Ankylosis, and post-traumatic conditions due to limited mouth opening. This study introduces a novel technique using a nasopharyngeal airway (NPA) for throat packing. The method involves inserting a hemostatic dressing through an NPA, ensuring minimal invasiveness and effective airway management. Proper positioning is confirmed with a laryngoscope or fiberoptic scope, and the dressing is secured to prevent dislodgement. This technique is easy, reproducible, and less injurious compared to traditional methods. At our center, throat packing via NPA was performed on 35 patients undergoing surgery under general anesthesia, resulting in high satisfaction and no reported complications.
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Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Idioma: En Revista: J Stomatol Oral Maxillofac Surg Año: 2024 Tipo del documento: Article

Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Idioma: En Revista: J Stomatol Oral Maxillofac Surg Año: 2024 Tipo del documento: Article