A simple method to control the distal tip of nasotracheal tube using the surgical suture

With great interest, we read the recent article by Hung et al. [1] describing a novel method to control the distal tip of nasotracheal tube. In clinical practice, we had used this technique to achieve the successful nasotracheal intubation [2]. We completely agree with the authors that this method may be used as a back-up technique if the cuff inflation technique fails for controlling the tube tip location during nasotracheal intubation. However, one of main concerns on this method is possible injury of the nasal mucosa by removing the surgical suture along the tube placed in the nasal passage immediately after intubation.

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