ArticleJA clinical reports2023
Accidental retropharyngeal dissection extending close to the right common carotid artery during nasotracheal intubation: a case report.
Article in JA clinical reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Refining the Clinical Pathway for Nasotracheal Intubation: An Updated Decision Making Algorithm.Journal of clinical medicine · 2025Review
- Simultaneous retropharyngeal course of three carotid arteries coexisting with internal carotid coiling: a unique topographical variant.Surgical and radiologic anatomy : SRA · 2025Article
- Cervicothoracic Emphysema After Nasotracheal Intubation Attempt: A Life-Threatening Complication-A Case Report.A&A practice · 2025Article
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Authors and funding
5 authors.
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Abstract
backgroundRetropharyngeal dissection is a possible complication during nasotracheal intubation. We report a case of a retropharyngeal dissection extending close to the right common carotid artery occurring while inserting a nasotracheal tube. CASE PRESENTATION: An 81-year-old woman, scheduled for laparoscopic and endoscopic cooperative surgery for a duodenal tumor under general anesthesia, sustained submucosal dissection of the retropharyngeal space during nasotracheal intubation. Postoperative computed tomography revealed retropharyngeal tissue injury extending close to the right common carotid artery. The patient was treated with prophylactic antibiotic therapy and discharged uneventfully on postoperative day 13.
conclusionsSubmucosal dissection of the retropharyngeal tissue during nasotracheal intubation has a potential risk of major cervical vessel injury. Therefore, when the tip of the tube cannot be visualized within the oropharynx, clinicians must proceed with caution regarding the expected depth of the tube.
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