Intracranial Placement of a Nasotracheal Tube in a Patient with Goldenhar Syndrome Associated with Cribriform Plate Agenesis
Frederick Allen , MD * , James Riopelle , MD † and Ashish Sinha , MD, PhD * + Author Affiliations From the * Department of Anesthesiology, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania; and † Department of Anesthesiology, Louisiana State University Health Sciences Center, New Orleans, Louisiana. Address correspondence and reprint requests to Frederick Allen, MD, Hospital of the University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104 . Address e-mail to fredallenmd@gmail.com . Next Section Abstract We describe a case of inadvertent intracranial placement of a nasotracheal tube in a patient with an undiagnosed major congenital cranial anomaly (a variant of Goldenhar syndrome, which included absence of the cribriform plate). We believe that this is the first reported case in which this complication arose as a result of a congenital abnormality rather than traumatic or iatrogenic...