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Case Reports in Anesthesiology
Volume 2016 (2016), Article ID 6298687, 4 pages
http://dx.doi.org/10.1155/2016/6298687
Case Report

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

1St. Louis Children’s Hospital, Washington University, 1 Children’s Pl., St. Louis, MO 63108, USA
2Perelman School of Medicine at the University of Pennsylvania and the Children’s Hospital of Philadelphia, 3401 Civic Center Blvd., Philadelphia, PA 19104, USA

Received 12 June 2016; Accepted 17 October 2016

Academic Editor: Alparslan Apan

Copyright © 2016 Preeta George 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

Maxillofacial surgeries can present unique anesthetic challenges due to potentially complex anatomy and the close proximity of the patient’s airway to the surgical field. Damage to the tracheal tube (TT) during maxillofacial surgery may lead to significant airway compromise. We report the management of a patient with a partially severed TT during Le Fort surgery for midfacial hypoplasia and management strategies based on peer-reviewed literature. This case illustrates the clinical clues associated with a damaged TT and explores the challenges of managing this potentially catastrophic issue.