Accidental retropharyngeal dissection extending close to the right common carotid artery during nasotracheal intubation: a case report
Abstract Background Retropharyngeal dissection is a possible complication during nasotracheal intubation. We report a case of a retropharyngeal dissection extending close to the right common carotid artery occurring while inserting a nasotracheal tube. Case presentation An 81-year-old woman, schedul...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SpringerOpen
2023-02-01
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| Series: | JA Clinical Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40981-023-00603-1 |
| _version_ | 1797865361874354176 |
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| author | Aki Okamoto Yoshitaka Kawaraguchi Masahide Fujita Yasunobu Goto Mitsuru Shimokawa |
| author_facet | Aki Okamoto Yoshitaka Kawaraguchi Masahide Fujita Yasunobu Goto Mitsuru Shimokawa |
| author_sort | Aki Okamoto |
| collection | DOAJ |
| description | Abstract Background Retropharyngeal dissection is a possible complication during nasotracheal intubation. We report a case of a retropharyngeal dissection extending close to the right common carotid artery occurring while inserting a nasotracheal tube. Case presentation An 81-year-old woman, scheduled for laparoscopic and endoscopic cooperative surgery for a duodenal tumor under general anesthesia, sustained submucosal dissection of the retropharyngeal space during nasotracheal intubation. Postoperative computed tomography revealed retropharyngeal tissue injury extending close to the right common carotid artery. The patient was treated with prophylactic antibiotic therapy and discharged uneventfully on postoperative day 13. Conclusions Submucosal dissection of the retropharyngeal tissue during nasotracheal intubation has a potential risk of major cervical vessel injury. Therefore, when the tip of the tube cannot be visualized within the oropharynx, clinicians must proceed with caution regarding the expected depth of the tube. |
| first_indexed | 2024-04-09T23:06:49Z |
| format | Article |
| id | doaj.art-db40d9ab27c748be98e9552c0be9f41b |
| institution | Directory Open Access Journal |
| issn | 2363-9024 |
| language | English |
| last_indexed | 2024-04-09T23:06:49Z |
| publishDate | 2023-02-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | JA Clinical Reports |
| spelling | doaj.art-db40d9ab27c748be98e9552c0be9f41b2023-03-22T10:39:21ZengSpringerOpenJA Clinical Reports2363-90242023-02-01911410.1186/s40981-023-00603-1Accidental retropharyngeal dissection extending close to the right common carotid artery during nasotracheal intubation: a case reportAki Okamoto0Yoshitaka Kawaraguchi1Masahide Fujita2Yasunobu Goto3Mitsuru Shimokawa4Department of Anesthesiology, Nara City HospitalDepartment of Anesthesiology, Nara City HospitalDepartment of Anesthesiology, Nara City HospitalDepartment of Intensive Care, Nara City HospitalDepartment of Anesthesiology, Nara City HospitalAbstract Background Retropharyngeal dissection is a possible complication during nasotracheal intubation. We report a case of a retropharyngeal dissection extending close to the right common carotid artery occurring while inserting a nasotracheal tube. Case presentation An 81-year-old woman, scheduled for laparoscopic and endoscopic cooperative surgery for a duodenal tumor under general anesthesia, sustained submucosal dissection of the retropharyngeal space during nasotracheal intubation. Postoperative computed tomography revealed retropharyngeal tissue injury extending close to the right common carotid artery. The patient was treated with prophylactic antibiotic therapy and discharged uneventfully on postoperative day 13. Conclusions Submucosal dissection of the retropharyngeal tissue during nasotracheal intubation has a potential risk of major cervical vessel injury. Therefore, when the tip of the tube cannot be visualized within the oropharynx, clinicians must proceed with caution regarding the expected depth of the tube.https://doi.org/10.1186/s40981-023-00603-1Nasotracheal intubationComplicationRetropharyngeal dissectionCommon carotid artery |
| spellingShingle | Aki Okamoto Yoshitaka Kawaraguchi Masahide Fujita Yasunobu Goto Mitsuru Shimokawa Accidental retropharyngeal dissection extending close to the right common carotid artery during nasotracheal intubation: a case report JA Clinical Reports Nasotracheal intubation Complication Retropharyngeal dissection Common carotid artery |
| title | Accidental retropharyngeal dissection extending close to the right common carotid artery during nasotracheal intubation: a case report |
| title_full | Accidental retropharyngeal dissection extending close to the right common carotid artery during nasotracheal intubation: a case report |
| title_fullStr | Accidental retropharyngeal dissection extending close to the right common carotid artery during nasotracheal intubation: a case report |
| title_full_unstemmed | Accidental retropharyngeal dissection extending close to the right common carotid artery during nasotracheal intubation: a case report |
| title_short | Accidental retropharyngeal dissection extending close to the right common carotid artery during nasotracheal intubation: a case report |
| title_sort | accidental retropharyngeal dissection extending close to the right common carotid artery during nasotracheal intubation a case report |
| topic | Nasotracheal intubation Complication Retropharyngeal dissection Common carotid artery |
| url | https://doi.org/10.1186/s40981-023-00603-1 |
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