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Case Reports in Anesthesiology
Volume 2016 (2016), Article ID 3529415, 3 pages
http://dx.doi.org/10.1155/2016/3529415
Case Report

Orotracheal Intubation Using the Retromolar Space: A Reliable Alternative Intubation Approach to Prevent Dental Injury

1UT MD Anderson Cancer Center, Anesthesiology & Perioperative Medicine, 1400 Holcombe Blvd, Unit 409, Houston, TX 77030, USA
2Baylor College of Medicine, 1 Baylor Plaza, Houston, TX 77030, USA

Received 19 October 2016; Accepted 30 November 2016

Academic Editor: Kuang-I Cheng

Copyright © 2016 Linh T. Nguyen et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Despite recent advances in airway management, perianesthetic dental injury remains one of the most common anesthesia-related adverse events and cause for malpractice litigation against anesthesia providers. Recommended precautions for prevention of dental damage may not always be effective because these techniques involve contact and pressure exerted on vulnerable teeth. We describe a novel approach using the retromolar space to insert a flexible fiberscope for tracheal tube placement as a reliable method to achieve atraumatic tracheal intubation. Written consent for publication has been obtained from the patient.