Autopsy and Case Reports
Autopsy and Case Reports
Article / Clinical Case Report

Nasotracheal tube wire support: a safety device in maxillofacial surgery technical note after five years of experience

Fernando Melhem Elias; Fábio Ricardo Loureiro Sato; Flávio Wellington da Silva Ferraz

Downloads: 4
Views: 986


A well fixed endotracheal tube is essential for safety during general anesthesia. In maxillofacial surgeries, securely fixing a nasotracheal tube in place has always been problematic. The aim of this article is to describe a simple but effective technique to fasten the nasotracheal tube using a wire support that allows a full range of head movement without interference in the surgical field. During the last 5 years, this device was successfully used in almost two hundred patients with very few complications.


Surgery, Oral, Anesthesiology, Intubation


Fenje N, Steward DJ. A study of tape adhesive strength on endotracheal tubes. Can J Anaesth. 1988;35:198-202. PMid: [PMID:3356058]. []

Wingate G, Stevenson GW, Pensler JM. Rigid endotracheal tube stabilization during craniomaxillofacial surgery. Ann Plast Surg. 1989;23:459-60. PMid: [PMID:2604335]. []

Rivera R, Tibballs J. Complications of endotracheal intubation and mechanical ventilation in infants and children. Crit Care Med. 1992;20:93-199. []

Ota Y, Karakida K, Aoki Tet al. A secure method of nasal endotracheal tube stabilization with suture and rubber tube. J Exp Clin Med. 2001;26:119-22.

Donlon WC, Truta MP, Hilt DM. A simple method of nasoendotracheal tube fixation. Ann Plast Surg. 1989;23:461-2. PMid: [PMID:2604336]. []

Altemir FH. Pericranial fixation of the nasotracheal tube. J Oral Maxillofac Surg. 1986;44:585. []

Baek, RM. Song, YT. A practical method of surgical draping using the performed RAE (Ring-Adair-Elwyn) nasotracheal tube and the mayo table in maxillofacial surgery. Plast Reconstr Surg. 2003;112:1484-5. PMid: [PMID:14504540]. []

Starr DG, Fletcher IR. A new method for securing endotracheal tubes during orthognathic surgery. Br J Oral Maxillofac Surg. 1994;32:260-1. []


Publication date:

569696b064cc8b5cda711bec autopsy Articles

Autops Case Rep

Share this page
Page Sections