Nasal turbinate dislocation caused by nasotracheal intubation.
A case of nasal turbinate dislocation secondary to nasotracheal intubation is presented. Although mild epistaxis had occurred in the days following extubation, the complication was not recognized until after the patient presented with headache and impairment of nasal breathing 6 months later. Endoscopy revealed the dislocation of the middle turbinate into the nasopharynx. Treatment by resection of the dislodged turbinate resulted in relief of symptoms. Physicians should be aware of the possibility of severe nasal damage following even apparently uncomplicated intubation and obtain consultation by an otorhinolaryngologist after epistaxis or obstructed nasal breathing.
Dost
P
P
Hals-Nasen-Ohren-Klinik, Universitätsklinikum Essen, Germany.
Armbruster
W
W
D000402:Airway Obstruction / Q000209:etiology*; D004844:Epistaxis / Q000209:etiology*; D005260:Female; D006801:Humans; D007442:Intubation, Intratracheal / Q000009:adverse effects*; D008875:Middle Aged