Nasotracheal intubation for head and neck surgery

Area of Science:

• Anesthesiology
• Head and Neck Surgery

Background:

• Nasotracheal intubation enhances surgical access in head, neck, and airway surgeries.
• Concerns regarding complications and inadequate training may hinder its adoption.

Purpose of the Study:

• To review the anatomy, benefits of nasal vasoconstrictors, and techniques for nasotracheal intubation.
• To encourage the appropriate use of nasotracheal intubation in surgical practice.

Main Methods:

• Review of anatomical considerations for nasal intubation.
• Discussion of the benefits and application of nasal vasoconstrictors.
• Emphasis on procedural techniques for safe nasotracheal intubation.

Main Results:

• Nasotracheal intubation provides superior surgical field access compared to other methods.
• Proper technique and preparatory measures minimize risks associated with nasotracheal intubation.
• Knowledge of anatomy and use of vasoconstrictors are crucial for successful intubation.

Conclusions:

• Nasotracheal intubation is a valuable technique for head and neck surgery when performed correctly.
• Addressing training gaps and emphasizing anatomical knowledge can promote wider, safer use.
• This review aims to equip surgeons with the necessary information for effective nasotracheal intubation.