PMC4095712_01
Hypertrophic adenoid avulsed by a nasotracheal tube. Hypertrophic adenoid viewing by a fiberscope (a). Hypertrophic lingual tonsil (b). Avulsed hypertrophic adenoid; a groove appear on the adenoid (c). Tip of the nasotracheal tube was filled with adenoid tissue but side hole was not occluded (d and e). A: adenoid hypertrophy; AF: arytenoid folds; E: epiglottis; ET: eustachian tube; LT: lingual tonsil; NG: nasogastric tube; PP: posterior pharyngeal wall; SP: soft palate; V: vomer.
CRIA2014-980930.001.jpg
PMC4095712_01_CRIA2014-980930.001.jpg
fig1
Turbinates were swollen, narrowing the nasal pathway, and nasopharynx with grade II adenoid hypertrophy and oropharynx with lingual hyperplasia were found (Figures 1(a) and 1(b)). However, a mass was filled with inlet of the tube as the tip of the nasotracheal tube was on the oropharynx, (Figure 1(d)). Then, viewing from a fiberscope, a groove appeared on the hypertrophic adenoid (Figure 1(c)) and a bleeding point on the lower margin of the adenoid but not on the middle or inferior turbinate was found.