TCRN Practice Exam 2026 – Complete Prep for Your Test

Inserting a nasopharyngeal airway in a patient with maxillofacial trauma poses the risk of potentially fracturing the cribriform plate, which is the thin bone that separates the nasal cavity from the brain. This area is particularly vulnerable in cases of facial injury due to its anatomical location. When a nasopharyngeal airway is inserted, particularly with force or if the anatomy is distorted due to trauma, there is a significant risk that it could disrupt the cribriform plate. This can lead to complications such as cerebrospinal fluid leaks or direct trauma to the underlying brain structures, increasing the risk of serious neurological issues.

Understanding this risk is crucial for healthcare providers as they assess the safest methods for maintaining airway patency in patients with significant facial injuries, highlighting the importance of evaluating the mechanism of injury and the extent of the trauma before proceeding with airway interventions.