Pharyngoplasty: a hazard for nasotracheal intubation.
General anaesthesia is desirable for a wide range of oral and maxillofacial operations and nasal intubation is essential for some procedures, particularly orthognathic surgery. The patient who has undergone pharyngoplasty presents with a reduced velopharyngeal orifice which may interfere with the insertion of the nasal tube. It is suggested that nasal pharyngoscopy or a similar investigation should be included as part of the preoperative assessment for these patients if nasotracheal intubation is anticipated.
D000293:Adolescent; D002971:Cleft Lip / Q000601:surgery; D002972:Cleft Palate / Q000601:surgery; D004724:Endoscopy; D006801:Humans; D007442:Intubation, Intratracheal; D008297:Male; D010614:Pharynx / Q000601:surgery*; D011183:Postoperative Complications; D013524:Surgical Flaps