RİNOPLASTİ NEDENİYLE RETROMOLAR ENTÜBASYON YAPILAN HASTADA BİLATERAL SAGİTTAL SPLİT RAMUS OSTEOTOMİSİ

Yıl 2016, Supplement 16, 27 - 30, 24.11.2016

Ahmet Altan , Nihat Akbulut Ziya Kaya M. Kemal Tümer Emrah Soylu

https://doi.org/10.17567/ataunidfd.290515

Öz

Bu vaka
raporunda; bilateral sagittal split ramus osteo- tomisi planlanan hastada,
geçirmiş olduğu rinoplasti ameliyatları nedeniyle retromolar entübasyonla
yapılan ortognatik cerrahinin sunumu amaçlanmıştır.

Mandibular
deformitesi olan 22 yaşındaki bayan hasta Ağız Diş ve Çene Cerrahisi kliniğine
başvurdu. Hastada bilateral sagittal split ramus osteotomisi yapılarak alt
çenenin 6 mm geri alınması planlandı. Genel anestezi öncesinde rutin
hazırlıklarında hastanın 3 ay önce rinoplasti yaptırdığı öğrenildi. Rinoplasti
işlemi sonrası elde edilen estetik görünümün bozulmaması için nazal
entübasyondan vazgeçildi. Ameliyat sırasında oklüzyon kontrollerini
etkilemeyecek şekilde retromolar entübas- yon yapılarak hasta başarılı bir
şekilde opere edildi.

Hava yolu
güvenliğini sağlamada sıklıkla kullanılan oral ve nazal entübasyon her zaman
uygulanamayabilir. Retromolar bölgede yeterli boşluk varsa retromolar
entübasyon tekniği ortognatik cerrahi ameliyatlarında alternatif bir yöntem
olarak düşünülebilir.

Anahtar Kelimeler: entübasyon, ortognatik cerrahi, retromola 

RETROMOLAR INTUBATION IN A PATIENT
WITH RHINOPLASTY UNDERGOING BILATERAL SAGITTAL SPLIT RAMUS OSTEOTOMY

ABSTRACT

In this
case report, we aimed to present retromolar intubation in a patient undergoing
bilateral sagittal split ramus osteotomy. Nasal entubation was impossible for
this patient with rhinoplasty.

A-22-year old female with mandibular deformity was referred to the Department of Oral and Maxillofacial
Surgery. Orthognathic surgery was planned as a first surgery concept
according to patient’s individual and orthodontist request. Bilateral sagittal
split osteotomy was planned for mandibular setback. Patient has been operated
for rhinoplasty by her plastic surgeon three months ago. Because of adverse
effects and risks of damage to rhinoplasty, nasotracheal intubation was
contraindicated. Retromolar intubation was preferred. This tecnique allowed
intraoperative assessment ofthe occlusion and maxillomandibular fixation during
the operation.

Sometimes
orotracheal and nasotracheal intubation are contraindicated. In the presence of enough space in the
retromolar region, retromolar intubation techniques in orthognathic surgery can
be considered as an alternative method of operation.

Key Words: intubation,
orthognathic surgery, retromolar

Anahtar Kelimeler

entübasyon, ortognatik cerrahi

Kaynakça

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