Penetrating soft palate injury during nasotracheal intubation

Penetrating injury of the soft palate by a microlaryngeal tracheal tube during GlideScope® intubation

Dear Editor, A 57-year-old man presented for suspension microlaryngoscopy and biopsy of a laryngeal lesion that was mildly obstructive. After induction of general anaesthesia, a standard midline approach of glideScope laryngoscopy provided good laryngeal exposure. A junior anaesthesiologist made a failed attempt to introduce a 5.0-mm internal diameter cuffed microlaryngeal tracheal (MlT) tube w...

Penetrating injury to the soft palate causing retropharyngeal air collection.

Pharyngeal injuries caused by trauma are common and have been reported previously in the medical literature. In some cases of a penetrating injury there is a collection of air in the retropharyngeal space that can be shown on lateral soft tissue radiography of the neck. If this condition is not diagnosed or adequately treated the patient may develop severe complications such as mediastinitis. A...

Soft Palate Injuries from Rigid Stylet during Glidescope Intubation

EMS reports significant hypertension with pressures in the 200 systolic range. Brain attack activated prior to arrival by EMS so that patient is evaluated by the ED staff in conjunction with Neurology. As they roll through the door, he is alert and able to give some limited history. There is notable left-sided deficit, slurred speech, rightsided incoordination, and neurology scores him at 10 on...

Nasotracheal intubation.

Soft Palate Injuries During Orotracheal Intubation With the Videolaryngoscope.

OBJECTIVE The videolaryngoscope has gained popularity for providing superior visualization in intubations. A rare complication of this technology is soft palate injury. Through a literature review and case series, we highlight the risks associated with the Glidescope and McGrath videolaryngoscopes and the management of soft palate injuries. METHOD A case series of multi-institutional review o...