We report three cases of airway management with elective surgical cricothyroidotomy (SCT) for anesthetic management during surgical repair of maxillofacial injury involving basal skull fracture or nasal-bone fracture. In all patients, general anesthesia was induced, a supraglottic airway (SGA) device inserted, and SCT performed. Tracheal intubation was performed through SCT site, and the SGA de...

BACKGROUND Packing after closed reduction of a nasal bone fracture causes inconvenient nasal obstruction in patients. We packed the superior meatus with Vaseline gauze to support the nasal bone, and packed the middle nasal meatus with a Doyle Combo Splint consisting of an airway tube, a silastic sheet, and an expandable sponge to reduce the inconvenience. In addition, we aimed to objectively id...

In 1997, Lambert and colleagues demonstrated that the absence of sinus fluid on head CT essentially excludes a fracture involving the sinus walls. Our purpose is to reevaluate this association utilizing the current standard of imaging technology. With improved image resolution, we aim to reassess whether the sensitivity and specificity of the "clear sinus sign" are improved or worsened. Further...

1 Yuka Shigemura, MD Jun Akamatsu, MD, PhD Naoya Sugita, MD Takashi Nuri, MD, PhD Koichi Ueda, MD, PhD Department of Plastic and Reconstructive Surgery Chikamori Hospital Kōchi, Kochi Prefecture Japan Department of Plastic and Reconstructive Surgery Osaka Medical College Takatsuki, Osaka Japan Sir: U is now a very popular noninvasive imaging technique. It has been reported to be useful in the d...