A significant number of patients undergoing surgery for disorders of the head and neck will receive a Dobbhoff tube or a nasogastric (NG) tube. The tube placement may be used for the short term, to get patients through a critical illness, or for the long term, when patients need nutritional supplementation for an extended period. The feeding tube may be placed in the operating room with the patient under general anesthesia or at the bedside in a regular hospital setting. Many methods of monitoring the correct placement of the feeding tube have been described. Recently, in our institution, feeding tubes were placed into the lungs or pleural space in 3 cases, including 1 case on the otolaryngology service.
Lo JO, Wu V, Reh D, Nadig S, Wax MK. Diagnosis and Management of a Misplaced Nasogastric Tube Into the Pulmonary Pleura. Arch Otolaryngol Head Neck Surg. 2008;134(5):547-550. doi:10.1001/archotol.134.5.547