title: Intraoperative acquired pressure ulcer on lower lip: a complication of rhinoplasty.
abstract: Device-related pressure ulcers are not rare. However, few studies have reported pressure ulcers of the lower lip. We encountered 2 patients with an intraoperative pressure ulcer on the lower lip caused by an endotracheal tube during rhinoplasty. A 46-year-old man showed a deviated nose and nasal obstruction. Surgery was performed under general anesthesia with endotracheal intubation. The surgery time was 270 minutes. A 23-year-old man also showed a deviated nose and nasal obstruction. Surgery was performed under general anesthesia in the same fashion. The surgery time was 273 minutes. A preformed endotracheal tube was inserted and positioned over the mandible and secured with polyurethane film intraoperatively. Both patients had pressure ulcers on their lower lip. One showed a slightly visible scar. Care must be taken to avoid ulcers of the lower lip in rhinoplasty patients.
authors.affiliation: From the Department of Plastic and Reconstructive Surgery, Kanazawa Medical University, Ishikawa, Japan.
authors.forename: Masanobu
authors.initials: M
authors.lastname: Yamashita
authors.forename: Akiko
authors.initials: A
authors.lastname: Nishio
authors.forename: Haruhisa
authors.initials: H
authors.lastname: Daizo
authors.forename: Miyuki
authors.initials: M
authors.lastname: Kishibe
authors.forename: Kenichi
authors.initials: K
authors.lastname: Shimada
mesh_terms: D000328:Adult; D006801:Humans; D007431:Intraoperative Complications / Q000209:etiology* / Q000628:therapy; D007442:Intubation, Intratracheal / Q000009:adverse effects* / Q000295:instrumentation*; D008047:Lip Diseases / Q000209:etiology* / Q000628:therapy; D008297:Male; D008875:Middle Aged; D003668:Pressure Ulcer / Q000209:etiology* / Q000628:therapy; D012225:Rhinoplasty / Q000009:adverse effects*