title: Sitting Nasal Intubation With Fiberoptic in an Elective Mandible Surgery Under General Anesthesia.
abstract: BACKGROUND
  Patients with mandible deformity may die, as a result of airway management failures. The awake nasal fiberoptic intubation is known as the optimum intubation method, in the mentioned patients, although, in several cases, fiberoptic intubation fails.
  
  
  METHODS
  The present case discusses a patient with severe deformity of mandible that was admitted for correction with free-flap. The following intubation techniques were used for her airway management, respectively: blind awake nasal intubation, awake oral fiberoptic and awake nasal fiberoptic, which failed all. We therefore decided to perform awake nasal intubation, with fiberoptic, in sitting position.
  
  
  CONCLUSIONS
  In this case, after failure of awake fiberoptic intubation, awake direct laryngoscopy and blind nasal intubation, finally awake nasal intubation in sitting position, using fiberoptic led to success.
authors.affiliation: Department of Anesthesiology, Hazrat Fatemeh Medical Center, Iran University of Medical Sciences, Tehran, Iran.
authors.forename: Seyyed Hassan
authors.initials: SH
authors.lastname: Etemadi
authors.affiliation: Students' Scientific Research Center, Tehran University of Medical Sciences, Tehran, Iran.
authors.forename: Amir
authors.initials: A
authors.lastname: Bahrami
authors.affiliation: Students' Scientific Research Center, Tehran University of Medical Sciences, Tehran, Iran.
authors.forename: Ali Mohammad
authors.initials: AM
authors.lastname: Farahmand
authors.affiliation: Department of Anesthesiology and Pain Medicine, Iran University of Medical Sciences, Tehran, Iran.
authors.forename: Mohammad Mahdi
authors.initials: MM
authors.lastname: Zamani
keywords: Airway Management; Endotracheal Intubation; Fiber Optic Technology; Free Flaps; Intubation