Inability to extubate because of Kirshner wire transfixation of the endotracheal tube.
A Kirshner wire penetrated and transfixed the endotracheal tube placed to maintain a patient for open reduction of a malar bone fracture. To avoid such incidents, a radiographic check should be made soon after wire placement, and tracheotomy equipment should be available in the oral surgery suite.
D000328:Adult; D001864:Bone Wires / Q000009:adverse effects*; D005593:Fracture Fixation, Internal / Q000009:adverse effects* / Q000295:instrumentation; D006801:Humans; D007442:Intubation, Intratracheal; D008297:Male; D009984:Orthopedic Fixation Devices / Q000009:adverse effects*; D015051:Zygomatic Fractures / Q000601:surgery