Abstract

HERNANDEZ-ALTEMIR, F. et al. "Ectopic enteral tube" insertion in patients with head, neck and other pathologies when natural tracts are impracticable or inadvisable: A new method. Rev Esp Cirug Oral y Maxilofac [online]. 2008, vol.30, n.1, pp.41-44. ISSN 2173-9161.

Introduction. Patients with a variety of general pathologies and oral and maxillofacial pathologies often require extraordinary measures for to ensure enteral feeding and aspiration. We report a new method for inserting what we call "ectopic enteral tubes" (EET). Material and Method. Conventional enteral tubes are inserted into the digestive tract using "ectopic" insertion routes. At present, the most common routes available are the pericranial or submental routes, as well as wounds and trajectories that are present or created expressly for this purpose in the craniofacial area. We report the clinical case of a patient with comminuted fractures of the temporal and left suprazygomatic region, where the EET was inserted. Results. This new method obviates the need for more aggressive techniques, such as surgical or percutaneous gastrostomy, and the use of natural facial orifices when not practicable or not indicated while maintaining a viable route for enteral feeding and aspiration. Conclusions. EET is a useful addition to our therapeutic arsenal.

Keywords : Ectopic enteral tubes; Pericranial route; Submental route.

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