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KMID : 0356919950280050734
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Korean Journal of Anesthesiology
1995 Volume.28 No. 5 p.734 ~ p.738
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Diffcult Intubation in Post-Orthognathic Surgical Patient
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Abstract
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This 17 year-old male patient had an experience of a difficult intubation problem on miniplate removal operation after orthognathic surgery, but he didn't have the same problem on a previous orthognathic surgery 1 year before. He suffers from
mental
retardation and speaking disability due to congenital brain damage. I think difficult exposure of the larynx was caused by the imbalance of neck muscle force and jaw instability, as result from surgery. The preoperative airway evaluation is very
important because findings may dictate choice of intubation technique. A flexible fiberoptic laryngoscope maybe the most useful aid to awake intubation in the patient with a known difficult airway.
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