Journal of Craniofacial Surgery· 2026Q2· Case report
Oral to Nasal Endotracheal Tube Exchange in a Difficult Airway Patient During Maxillofacial Surgery
- 0citations
- Q2SCImago
- 2026year
Short summary
A hybrid video laryngoscopy and fiberoptic bronchoscopy (FOB) technique successfully facilitated a 5-minute oral-to-nasal endotracheal tube exchange in a patient with Crouzon syndrome and a difficult airway during maxillofacial surgery.
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Key points
- A combined video laryngoscopy and fiberoptic bronchoscopy (FOB) technique was used for endotracheal tube exchange.
- The patient had Crouzon syndrome, presenting a difficult airway during maxillofacial surgery.
- Severe midfacial disruption, bleeding, and secretions necessitated the hybrid approach.
- The exchange was completed successfully in 5 minutes with no desaturation.
AI-generated from the title and abstract; the full text is not read.
Abstract
This case report describes a successful oral-to-nasal endotracheal tube exchange using a combined video laryngoscopy and fiberoptic bronchoscopy (FOB) technique in a 48-year-old patient with Crouzon syndrome following modified Le Fort III osteotomy and Le Fort I osteotomy. Severe midfacial disruption, bleeding, and secretions precluded the use of FOB alone. The video laryngoscope provided a continuous glottic view and enabled suctioning, while guiding the FOB into the trachea alongside the existing tube. The exchange was completed smoothly within 5 minutes without desaturation. This hybrid approach is an effective strategy for managing difficult airway exchange in complex maxillofacial surgery.
The authors' abstract, as published at the source. Journal of Craniofacial Surgery, 2026 · DOI ↗
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Field: Anesthesiology and Pain Medicine
Anesthesiology and Pain MedicineMedicine