Repeated cuff rupture with nasal intubation: What we learn

Direct laryngoscopy was performed, and the nasal fETT was removed over a bougie as a safety measure. Since the glottis opening was anterior, another bougie was passed orally to facilitate oral intubation under direct laryngoscopy [Figure 1]. [5] In our case, the nasal spur was diagnosed with the palpation of the nasal cavity with the little finger which was subsequently confirmed by CT scan. [...]the nasal spur can cause endotracheal tube cuff rupture following nasal intubation, which could be difficult to manage during facial reconstruction surgeries.