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Updated: May 10, 2026

The Flexible Rhino-Laryngoscope for Awake Nasotracheal Intubation
Published on: August 2, 2024
Awake endotracheal retrograde intubation in restricted mouth opening: a 'J'-tipped guide wire technique--a
Nitin Bhola1, Anendd Jadhav, Rajiv Borle
1Department of Oral and Maxillofacial Surgery, Sharad Pawar Dental College and Hospital, Wardha, Maharastra, 442101, India, drbholanitin@gmail.com.
Introduction:
Airway management in patient with restricted mouth opening is a great challenge, owing to the difficulty in laryngoscopy and visualisation of the vocal cords during the procedure of intubation. The term retrograde intubation refers to a technique in which a guide wire is passed into the trachea and then into the mouth or nose. A tracheal tube is then passed down over the guide until it enters the trachea.
Material And Method:
A retrospective audit was undertaken to determine the success and complication associated with retrograde intubation.
Results:
The results show that in a sample of 20 patients in which retrograde intubation was done, only three developed sore throat and cough, one had bronchospasm and one developed infection at the site of insertion of a J-tipped catheter.
Conclusion:
Retrograde tracheal intubation was easy to perform and had a high success rate and a low incidence of complications.
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