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An Unusual Complication During Awake Nasotracheal Fiberoptic Intubation in a Patient with Maxillary Carcinoma Cover

An Unusual Complication During Awake Nasotracheal Fiberoptic Intubation in a Patient with Maxillary Carcinoma

Open Access
|Jun 2025

Abstract

A 54-year-old male presented with maxillary carcinoma with extension into the ipsilateral nasal cavity, pterygopalatine fossa and masticator space.  Preoperative airway evaluation revealed an anticipated difficult airway with an El-Ganzouri Risk Index (EGRI) of 8. This case report highlights the unexpected and uncommon complication encountered during awake fiberoptic intubation due to an accidentally lodged tip of the fiberoptic bronchoscope in the Murphy’s eye of the endotracheal tube.

Language: English
Page range: 207 - 211
Published on: Jun 29, 2025
Published by: College of Anaesthesiologists of Sri Lanka
In partnership with: Paradigm Publishing Services

© 2025 Ruchi Singh, Nazia Nazir, Wasimul Hoda, Sapna Singh, Hukam Singh, published by College of Anaesthesiologists of Sri Lanka
This work is licensed under the Creative Commons Attribution 4.0 License.