Figure
A) Appearance of Ivory tube pre-intubation. B) Position of Ivory PVC, Nasal, Profile Soft Seal cuff tracheal tube (Smiths Medical) for transoral robotic surgery. C) A knot tied on the pilot tube as proximal to the Ivory tube as possible. D) Ivory tube cut after disconnecting the 15-mm standard connector and ventilation circuit. E) Downward pressure of the Ivory tube into the nasal cavity and direct laryngoscopy. F) Pharyngeal view showing the use of Magill forceps to “fish” out the proximal end of the nasal tube. G) Final position of endotracheal tube for nasal surgery. H) Cutting the knot from the pilot tube to allow egress of air for extubation. I) Appearance of the Ivory tube post extubation