{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T01:31:47Z","timestamp":1777944707298,"version":"3.51.4"},"reference-count":11,"publisher":"SAGE Publications","issue":"12","license":[{"start":{"date-parts":[[2025,4,8]],"date-time":"2025-04-08T00:00:00Z","timestamp":1744070400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Perioperative Practice"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:p>Difficult ventilation and intubation in anaesthesia are highly complex and challenging for the anaesthetist. We aim to present a case of successful nasotracheal intubation with surgical incision and video laryngoscope in a patient with anticipated difficult ventilation and intubation due to a limited mouth opening. A patient was an 81-year-old female scheduled for oral surgery for lip cancer. The patient\u2019s American Society of Anesthesiologists (ASA) physical classification was class III, and the oral airway was assessed as a Mallampati Class IV. A comprehensive preoperative evaluation of the patient revealed limited mouth opening (distance between incisors 1cm) and multiple decayed and broken teeth. A 2cm surgical incision of the skin was performed by plastic surgery under local anaesthesia and sedation without general anaesthesia. A high-flow nasal cannula (HFNO) was used for preoxygenation and to prevent desaturation during a difficult intubation. The oral cavity was topicalised with 2% lidocaine, and after the topical nasal vasoconstrictor to the nasal cavity, we selected a 7.0mm nasal flexible endotracheal tube (ETT). We inserted it into the right nostril with a video laryngoscope under local anaesthesia and sedation without general anaesthesia, and then, the patient\u2019s nasotracheal intubation was successfully performed. A multidisciplinary team approach to airway management should include all participants in planned patient care in the operating room, intensive care unit (ICU), post-anaesthesia care unit, or ward.<\/jats:p>","DOI":"10.1177\/17504589241276665","type":"journal-article","created":{"date-parts":[[2025,4,9]],"date-time":"2025-04-09T00:56:51Z","timestamp":1744160211000},"page":"639-644","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Successful nasotracheal intubation with surgical incision and video laryngoscope in a patient with anticipated difficult intubation due to limited mouth opening: A case report"],"prefix":"10.1177","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0114-5845","authenticated-orcid":false,"given":"Beg\u00fcm Nemika","family":"G\u00f6kdemir","sequence":"first","affiliation":[{"name":"Department of Anesthesiology and Intensive Care Unit, Faculty of Medicine, Baskent University, Ankara, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nedim","family":"\u00c7ekmen","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Intensive Care Unit, Faculty of Medicine, Baskent University, Ankara, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmet \u00c7a\u011fr\u0131","family":"Uysal","sequence":"additional","affiliation":[{"name":"Department of Plastic, Reconstructive, and Esthetic Surgery, Faculty of Medicine, Baskent University, Ankara, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,4,8]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/anae.14904"},{"key":"e_1_3_2_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/ALN.0000000000004002"},{"key":"e_1_3_2_4_1","first-page":"80","volume-title":"Core Topics in Airway Management","author":"Cook T","year":"2020","unstructured":"Cook T, Kristensen MS (Eds) 2020 Core Topics in Airway Management 3rd ed Cambridge, Cambridge University Press p 80","edition":"3"},{"issue":"2","key":"e_1_3_2_5_1","article-title":"Preoxygenation and anesthesia: A detailed review","volume":"13","author":"Danish MA","year":"2021","unstructured":"Danish MA 2021 Preoxygenation and anesthesia: A detailed review Cureus 13 (2) e13240","journal-title":"Cureus"},{"key":"e_1_3_2_6_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2044.2003.03034.x"},{"key":"e_1_3_2_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-981-15-1346-6_7"},{"key":"e_1_3_2_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12630-013-9915-9"},{"key":"e_1_3_2_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/anae.12923"},{"key":"e_1_3_2_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2044.2012.07075.x"},{"key":"e_1_3_2_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/ALN.0000000000001452"},{"key":"e_1_3_2_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000542-200508000-00027"}],"container-title":["Journal of Perioperative Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17504589241276665","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/17504589241276665","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17504589241276665","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T08:06:33Z","timestamp":1777709193000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/17504589241276665"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4,8]]},"references-count":11,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2025,12]]}},"alternative-id":["10.1177\/17504589241276665"],"URL":"https:\/\/doi.org\/10.1177\/17504589241276665","relation":{},"ISSN":["1750-4589","2515-7949"],"issn-type":[{"value":"1750-4589","type":"print"},{"value":"2515-7949","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,4,8]]}}}