title: A Novel Endoscopic Technique for Failed Nasogastric Tube Placement.
abstract: Direct visualization of the nasopharynx gives the otolaryngologist a unique advantage for addressing difficult nasopharyngeal anatomy. One common situation is being consulted to assist when the blind placement of a nasogastric tube has failed. A novel technique for managing a patient with a nasogastric tube embedded in the adenoid remnant is described with illustrations. The atraumatic method is easily employed by a resident armed with a portable nasolaryngoscope and plain suture. By using a repeated pull-through technique, the nasogastric tube can be guided past difficult nasopharyngeal anatomy and into a position from where it can be advanced into the patient's esophagus.
authors.affiliation: Department of Otolaryngology-Head & Neck Surgery, San Antonio Military Medical Center, San Antonio, Texas, USA andrew.g.boston.mil@mail.mil.
authors.forename: Andrew G
authors.initials: AG
authors.lastname: Boston
mesh_terms: D006801:Humans; D007441:Intubation, Gastrointestinal / Q000379:methods*; D007828:Laryngoscopy; D008297:Male; D008875:Middle Aged; D013537:Sutures; D017211:Treatment Failure
keywords: endoscope; nasogastric tube; nasolaryngoscope