Pyriform sinus perforation during nasotracheal intubation: a case report
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Updated: Dec 17, 2025

Author Spotlight: Advancing Awake Nasotracheal Intubation with Flexible Video Rhino-Laryngoscopes
Published on: August 2, 2024
Mohammed Elrabie Ahmed1, Bahaa Mohammed Refaie2, Farghali Abdelrahman1
1Otolaryngology - Head and neck surgery Department, Faculty of Medicine, Sohag University, Egypt.
Introduction:
Endotracheal intubation is the gold standard to protect the airway during general anesthesia. It is the commonest technique in medical practice with a low complication rate.
Presentation Of Case:
We report a case of left pyriform fossa perforation in a child after apparently uneventful nasotracheal intubation for tonsillectomy.
Discussion:
This is a rare complication. Physicians performing endotracheal intubation or dealing with intubated patients should be aware of the clinical symptoms of such complications. A rational management approach has been discussed.
Conclusions:
Early diagnosis is the mainstay to improve the outcome and avoid the morbidity and potentially life-threatening course of such trauma.
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