Intubation
Trans orbital intubation, a non standard approach to a difficult airway !!! Have u seen such a case before??
Source: https://www.instagram.com/p/Bg0Blj0AD9B/
They perform this procedure if in physical examination revealed limited mouth opening, mallampati 4, and adequate sternomental and thyromental distances. They use the eye as an axes of intubation. #anesthesiology
OMG, that creeps me way out. Was he missing the eye before the intubation, LOL
the case report of a 49-year-old gentleman with a history of adenoid cystic carcinoma of the left nare status post curative bifrontal craniotomy, left lateral rhinotomy and medial maxillectomy, adjuvant radiotherapy, and orbital exenteration for optic neuropathy, complicated by medial wall dehiscence. His course was also complicated by severe radiation trismus, for which he was scheduled to undergo bilateral mandibular coronoidectomies. Given his limited mouth opening, the surgeon requested a nasal endotracheal tube. Because of concerns of traumatizing his nare, we utilized a flexible fiberoptic bronchoscope to perform asleep transorbital intubation. Airway management in patients with severe trismus may require ingenuity.
