journal article·2022-08-26Open access

Anti-Bedsore Heel Disc for Nasotracheal Tube Stabilization during Mandibular Asymmetry Surgery and Stable Bone Osteosynthesis—Surgeon and Anesthesiologist Surgical Comfort

Kamil Nelke, Klaudiusz Łuczak, Maciej Janeczek, Edyta Pasicka, Maria Kołodziej, Monika Morawska-Kochman, Szczepan Barnaś, Wojciech Pawlak, Maciej Dobrzyński

Applied Sciences· Volume 12· Issue 17

Abstract

Nowadays, maxillo-facial surgery procedures are greatly dependent on good general anesthesia and adequate maintenance care of the airways. Nasotracheal intubation (NTI) is one of the most common ones, especially in orthognathic surgery, temporomandibular joint-related surgeries, or others. Nasotracheal intubation itself is not a problem; however, maintaining its stable and safe position, regardless of the excess of surgical maneuvers in the facial skeleton, is important. There are a lot of techniques, personal modifications, and materials used to support tube placement. It is quite common that either plaster or a bandage roll can be useful with a combination of various forms of sponges or wipes in different shapes, sizes, and elasticity to support the tube’s adequate position, especially when maintaining a good shape and position of the nose and symmetry line and avoiding unnecessary tube flexion. In the following paper, one of the tube support alternatives with an anti-bedsore heel disc will be presented.
Source: crossref · Quality: baseline

Research context

OpenAlex topics: Airway Management and Intubation Techniques · Tracheal and airway disorders · Head and Neck Surgical Oncology

SciVX discovery tags are terminology-based. OpenAlex topics are source-provided classifications.

Affiliations

Privat Practice of Maxillo-Facial Surgery and Maxillo-Facial Surgery Ward, Sokołowski Hospital, Sokołowskiego 4, 58-309 Wałbrzych, Poland

Privat Practice of Maxillo-Facial Surgery and Maxillo-Facial Surgery Ward, EMC Hospital, Pilczycka 144, 54-144 Wrocław, Poland

Department of Biostructure and Animal Physiology, Wrocław University of Environmental and Life Sciences, Kożuchowska 1, 51-631 Wrocław, Poland

Department of Radiology, University Hospital in Wrocław, ul. Borowska 213, 50-556 Wrocław, Poland

Department of Otolaryngology, Head and Neck Surgery, Wrocław Medical University, ul. Borowska 213, 50-556 Wrocław, Poland

Department of Otolaryngology, Head and Neck Surgery, 4th Military Hospital in Wrocław, Weigla 5, 50-981 Wrocław, Poland

Department of Pediatric Dentistry and Preclinical Dentistry, Wrocław Medical University, Krakowska 26, 50-425 Wrocław, Poland

Funding

Wrocław Medical University

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