Nasal Bridles for Securing Nasoenteric Feeding Tubes: A Review of Clinical Effectiveness and Potential Complications

Nasal bridle is a feeding tube retaining device that is now increasingly used worldwide. While common complications tend to be minor, it is important to remain vigilant for newer adverse events. We hereby delineate the case of an elderly female who required nasoenteric feeding tube following simulta...

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Published inCurēus (Palo Alto, CA) Vol. 12; no. 5
Main Authors Inayat, Faisal, Ur Rahman, Asad, Almas, Talal, Zahid, Effa, Zervos, Xaralambos
Format Journal Article
LanguageEnglish
Published Palo Alto Cureus Inc 28.05.2020
Cureus
Subjects
Case reports
Catheters
Gastroenterology
Internal Medicine
Medical technology
Nutrition
Ostomy
Otolaryngology
Pain
Patients
Quality Improvement
Recovery (Medical)
Sinuses
Surgery
United Kingdom > UK
United States > US
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Summary:Nasal bridle is a feeding tube retaining device that is now increasingly used worldwide. While common complications tend to be minor, it is important to remain vigilant for newer adverse events. We hereby delineate the case of an elderly female who required nasoenteric feeding tube following simultaneous liver-kidney transplantation. Nasal bridle placement was warranted owing to her significant frailty and poor mentation. Due to her extreme agitation during the procedure, bridle insertion could not be completed. Upon removal of the probe, unprompted detachment of the magnetic tip was noted. Radiological workup revealed the dislodged magnet in the sphenoid sinus. Subsequently, she underwent an uneventful endoscopic sinus surgery, resulting in successful retrieval of the magnet. This paper highlights the spontaneous magnet avulsion from a bridling system and serves the purpose of community awareness regarding this unusual procedural complication. Additionally, we aim to evaluate the efficacy of the nasal bridle, further accentuating its advantages and possible complications.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.8325