Case Report

An Unusual Lacerated Tracheal Tube during Le Fort Surgery: Literature Review and Case Report

Table 1

Case reports of damaged tracheal tubes (TTs) during maxillofacial surgery.

AuthorJournal/yearComplicationManagement

Nair and BalagopalIndian J Anaesth. 2012 [8]Partial transection of TT
Unable to ventilate, reintubated over a gum elastic boogie
Ladi and Aphale
Indian J Anaesth. 2011 [6]Complete TT transection
Flexometallic tube, difficulty removing distal end, emergent tracheostomy
Jain et al.Indian J Anaesth. 2008 [9]Partial transection of TT
Unable to ventilate, intubated over a tube exchanger
Bang et al.
Korean J Anesthesiol. 2007 [10]
Partial transection of TT
Continued with a throat pack
Adke and Mendonca
Anaesthesia. 2003 [11]Partial transection of TT
Noticed after extubation, no leak, intraoperatively
Bidgoli et al.Eur J Anaesthesiol. 1999 [3]Partial transection of TTUnable to ventilate, a nasogastric tube was inserted through the transected TT, which was used as a guide to reintubate
Ketzler and Landers
J Clin Anesth. 1992 [12]
Near total (95%) transection
Continued with a throat pack
Thyme et al.
J Oral Maxillofac Surg. 1992 [13]
Partial transection with pilot tube damage
Unable to ventilate, reintubated, no details
Valentine and KabanJ Oral Maxillofac Surg. 1992 [7]
Pilot tube damage, unable to deflate cuff
Waited for 2 hrs and for deflation of cuff to extubate
Fagraeus et al.
Anesth Analg. 1980 [14]
Partial transection with pilot tube damage
Unable to deflate cuff, unable to ventilate, aspiration of blood
reintubated without difficulty