Cervicothoracic Emphysema After Nasotracheal Intubation Attempt: A Life-Threatening Complication-A Case Report

A A Pract. 2025 Jan 3;19(1):e01884. doi: 10.1213/XAA.0000000000001884. eCollection 2025 Jan 1.

Abstract

Nasotracheal intubation is a commonly used technique in elective oral and pharyngeal surgeries. This case report details an incident involving a young adult patient in which an attempt at nasotracheal intubation resulted in a life-threatening cervicofacial and thoracic emphysema. Although complications associated with nasotracheal intubation are rare, their potential severity necessitates a comprehensive preprocedural discussion and risk assessment with the surgical team to confirm its appropriate indication for each individual patient. This case underscores the need for increased awareness and readiness for managing rare but critical complications associated with airway management techniques.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Humans
  • Intubation, Intratracheal* / adverse effects
  • Male
  • Mediastinal Emphysema* / etiology
  • Neck / surgery