Elective use of surgical cricothyroidotomy for maxillofacial fracture fixation with contraindication of nasotracheal intubation: a case report

JA Clinical Reports

Table 1 Clinical characteristics of three patients with elective surgical cricothyroidotomy

	Case 1	Case 2	Case 3
Age (y.o.)/Gender	28/m	47/m	62/F
ASA-PS	II	II	I
Major trauma	Mandbular Fx.	Maxilb facial Fx.	Maxilb facial Fx.
Basal skull fracture	+	+	-
Nasalbone fracture	-	-	+
Duration from injury to surgery (day)	10	7	8
Size of SGA	4	4	3
D of intubated tube (mm)	65	60	60
Duration of SCT (min)^*1	8	21	12
Duration of surgery (min)	150	255	160
Duration of anesthesia (min)	330	300	320
Intemaxillary fixation	+	+	+
Airway management at emergence	SGA	SGA	SGA
Issures with SCT procedure	Minor bleeding	Shifted anatomy	-
Duration of follow-up (month)	5	4	8
Long term complication with SCT^*2	-	-	-

SCT surgical cricothyroidotomy, SGA supraglottic airway, Fx fracture
^*1duration from establishment mechanical ventilation with SGA to finishing tracheal intubation via CTM
^*2subglottic stenosis, voice change, dysphagia were assessed