Submental Intubation - An alternative airway control
Objectives: In patients who require intubation for maxillofacial reconstruction, submental intubation is an alternative to a traditional tracheostomy. Various different methods of intubation are suitable for facial trauma cases. A choice often has to be made between orotracheal and nasotracheal...
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| Format: | Article |
| Language: | English |
| Published: |
Prathima Institute of Medical Sciences
2018-04-01
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| Series: | Perspectives In Medical Research |
| Subjects: | |
| Online Access: | http://www.pimr.org.in/Kamalakar-vol-6-issue-1-2018.PDF |
| Summary: | Objectives:
In patients who require intubation for maxillofacial
reconstruction, submental intubation is an alternative to a
traditional tracheostomy. Various different methods of
intubation are suitable for facial trauma cases. A choice often
has to be made between orotracheal and nasotracheal
intubation when surgical access to the nasal or oral cavity is
necessary. This work presents our current experience using
submental intubation in the airway management of facial
trauma patients. Submental intubation provides intraoperative
airway control, avoids use of nasal route, with minimal
complications. Submental intubation allows intraoperative
dental occlusion and is an acceptable option, especially when
long term postoperative ventilation is not planned.
Materials & Methods:
From July 2015 to February 2017, 13 patients from
craniomaxillofacial trauma benefited from submental
intubation. All the patients were males and the ages ranged
from 19 to 35 years (mean, 27 years).
Results: In all the patients, the submental intubation
permitted simultaneous reduction and fixation of all fractures
and intraoperative control of the dental occlusion without
interference from the tube during the operation. There was
no intra-operative complication. No post-operative
complications were reported. The intraoral and submental
accesses healed with minimal scarring in all patients
Conclusion: Submental intubation is a simple, secure
and effective procedure for operative airway control in major
maxillofacial surgeries |
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| ISSN: | 2348-1447 2348-229X |