Anti-Bedsore Heel Disc for Nasotracheal Tube Stabilization during Mandibular Asymmetry Surgery and Stable Bone Osteosynthesis—Surgeon and Anesthesiologist Surgical Comfort

Nowadays, maxillo-facial surgery procedures are greatly dependent on good general anesthesia and adequate maintenance care of the airways. Nasotracheal intubation (NTI) is one of the most common ones, especially in orthognathic surgery, temporomandibular joint-related surgeries, or others. Nasotrach...

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Main Authors: Kamil Nelke, Klaudiusz Łuczak, Maciej Janeczek, Edyta Pasicka, Maria Kołodziej, Monika Morawska-Kochman, Szczepan Barnaś, Wojciech Pawlak, Maciej Dobrzyński
Format: Article
Language:English
Published: MDPI AG 2022-08-01
Series:Applied Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-3417/12/17/8524
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author Kamil Nelke
Klaudiusz Łuczak
Maciej Janeczek
Edyta Pasicka
Maria Kołodziej
Monika Morawska-Kochman
Szczepan Barnaś
Wojciech Pawlak
Maciej Dobrzyński
author_facet Kamil Nelke
Klaudiusz Łuczak
Maciej Janeczek
Edyta Pasicka
Maria Kołodziej
Monika Morawska-Kochman
Szczepan Barnaś
Wojciech Pawlak
Maciej Dobrzyński
author_sort Kamil Nelke
collection DOAJ
description Nowadays, maxillo-facial surgery procedures are greatly dependent on good general anesthesia and adequate maintenance care of the airways. Nasotracheal intubation (NTI) is one of the most common ones, especially in orthognathic surgery, temporomandibular joint-related surgeries, or others. Nasotracheal intubation itself is not a problem; however, maintaining its stable and safe position, regardless of the excess of surgical maneuvers in the facial skeleton, is important. There are a lot of techniques, personal modifications, and materials used to support tube placement. It is quite common that either plaster or a bandage roll can be useful with a combination of various forms of sponges or wipes in different shapes, sizes, and elasticity to support the tube’s adequate position, especially when maintaining a good shape and position of the nose and symmetry line and avoiding unnecessary tube flexion. In the following paper, one of the tube support alternatives with an anti-bedsore heel disc will be presented.
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spelling doaj.art-eabf136060954b1dae7e34420019686f2023-11-23T12:41:07ZengMDPI AGApplied Sciences2076-34172022-08-011217852410.3390/app12178524Anti-Bedsore Heel Disc for Nasotracheal Tube Stabilization during Mandibular Asymmetry Surgery and Stable Bone Osteosynthesis—Surgeon and Anesthesiologist Surgical ComfortKamil Nelke0Klaudiusz Łuczak1Maciej Janeczek2Edyta Pasicka3Maria Kołodziej4Monika Morawska-Kochman5Szczepan Barnaś6Wojciech Pawlak7Maciej Dobrzyński8Privat Practice of Maxillo-Facial Surgery and Maxillo-Facial Surgery Ward, Sokołowski Hospital, Sokołowskiego 4, 58-309 Wałbrzych, PolandPrivat Practice of Maxillo-Facial Surgery and Maxillo-Facial Surgery Ward, EMC Hospital, Pilczycka 144, 54-144 Wrocław, PolandDepartment of Biostructure and Animal Physiology, Wrocław University of Environmental and Life Sciences, Kożuchowska 1, 51-631 Wrocław, PolandDepartment of Biostructure and Animal Physiology, Wrocław University of Environmental and Life Sciences, Kożuchowska 1, 51-631 Wrocław, PolandDepartment of Radiology, University Hospital in Wrocław, ul. Borowska 213, 50-556 Wrocław, PolandDepartment of Otolaryngology, Head and Neck Surgery, Wrocław Medical University, ul. Borowska 213, 50-556 Wrocław, PolandDepartment of Otolaryngology, Head and Neck Surgery, 4th Military Hospital in Wrocław, Weigla 5, 50-981 Wrocław, PolandPrivat Practice of Maxillo-Facial Surgery and Maxillo-Facial Surgery Ward, Sokołowski Hospital, Sokołowskiego 4, 58-309 Wałbrzych, PolandDepartment of Pediatric Dentistry and Preclinical Dentistry, Wrocław Medical University, Krakowska 26, 50-425 Wrocław, PolandNowadays, maxillo-facial surgery procedures are greatly dependent on good general anesthesia and adequate maintenance care of the airways. Nasotracheal intubation (NTI) is one of the most common ones, especially in orthognathic surgery, temporomandibular joint-related surgeries, or others. Nasotracheal intubation itself is not a problem; however, maintaining its stable and safe position, regardless of the excess of surgical maneuvers in the facial skeleton, is important. There are a lot of techniques, personal modifications, and materials used to support tube placement. It is quite common that either plaster or a bandage roll can be useful with a combination of various forms of sponges or wipes in different shapes, sizes, and elasticity to support the tube’s adequate position, especially when maintaining a good shape and position of the nose and symmetry line and avoiding unnecessary tube flexion. In the following paper, one of the tube support alternatives with an anti-bedsore heel disc will be presented.https://www.mdpi.com/2076-3417/12/17/8524nasotracheal intubationmandibular asymmetryanesthesiaorthognathic surgeryhemimandibular hyperplasia
spellingShingle Kamil Nelke
Klaudiusz Łuczak
Maciej Janeczek
Edyta Pasicka
Maria Kołodziej
Monika Morawska-Kochman
Szczepan Barnaś
Wojciech Pawlak
Maciej Dobrzyński
Anti-Bedsore Heel Disc for Nasotracheal Tube Stabilization during Mandibular Asymmetry Surgery and Stable Bone Osteosynthesis—Surgeon and Anesthesiologist Surgical Comfort
Applied Sciences
nasotracheal intubation
mandibular asymmetry
anesthesia
orthognathic surgery
hemimandibular hyperplasia
title Anti-Bedsore Heel Disc for Nasotracheal Tube Stabilization during Mandibular Asymmetry Surgery and Stable Bone Osteosynthesis—Surgeon and Anesthesiologist Surgical Comfort
title_full Anti-Bedsore Heel Disc for Nasotracheal Tube Stabilization during Mandibular Asymmetry Surgery and Stable Bone Osteosynthesis—Surgeon and Anesthesiologist Surgical Comfort
title_fullStr Anti-Bedsore Heel Disc for Nasotracheal Tube Stabilization during Mandibular Asymmetry Surgery and Stable Bone Osteosynthesis—Surgeon and Anesthesiologist Surgical Comfort
title_full_unstemmed Anti-Bedsore Heel Disc for Nasotracheal Tube Stabilization during Mandibular Asymmetry Surgery and Stable Bone Osteosynthesis—Surgeon and Anesthesiologist Surgical Comfort
title_short Anti-Bedsore Heel Disc for Nasotracheal Tube Stabilization during Mandibular Asymmetry Surgery and Stable Bone Osteosynthesis—Surgeon and Anesthesiologist Surgical Comfort
title_sort anti bedsore heel disc for nasotracheal tube stabilization during mandibular asymmetry surgery and stable bone osteosynthesis surgeon and anesthesiologist surgical comfort
topic nasotracheal intubation
mandibular asymmetry
anesthesia
orthognathic surgery
hemimandibular hyperplasia
url https://www.mdpi.com/2076-3417/12/17/8524
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