Transnasal insertion of percutaneous endoscopic gastrostomy in a patient with intermaxillary fixation: case report.
We describe successful placement of a percutaneous endoscopic gastrostomy via the transnasal approach in a patient who required intermaxillary fixation for an open mandible fracture, and required enteral nutrition for chronic respiratory failure and traumatic brain injury. This method may be useful in other cases where the transoral route is not available for endoscopic insertion of enterostomy tubes.
Counihan
T
T
Department of Surgery, University of Massachusetts, Worcester, USA.
Napolitano
L M
LM
Heard
S O
SO
D000328:Adult; D004750:Enteral Nutrition; D004867:Equipment Design; D005593:Fracture Fixation, Internal; D006801:Humans; D007441:Intubation, Gastrointestinal; D008297:Male; D008337:Mandibular Fractures / Q000601:surgery*