The Southern Medical Journal (SMJ) is the official, peer-reviewed journal of the Southern Medical Association. It has a multidisciplinary and inter-professional focus that covers a broad range of topics relevant to physicians and other healthcare specialists.

SMJ // Article

Case Report

Nasogastric Tube Perforation of the Nasopharynx

Authors: CARL A. PATOW MD, CHARLES W. PRUET MD, THEODORE W. FETTER MD, STEVEN A. ROSENBERG MD, PhD

Abstract

SUMMARYWe have presented two unusual cases of naso-gastric tube perforation of the posterior nasopharynx. Complications included subcutaneous emphysema, pneumomediastinum, and pleural effusion. Both patients recovered. Recommendations to improve nasogastric tube safety include gentle placement using lubricant and an appropriately sized tube, confirmation of tube placement before any infusion, and awareness of patients at increased risk of mucosal injury.

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