Submandibular intubation in awake patient of panfacial trauma

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Submandibular approach for tracheal intubation in patients with panfacial fractures.

BACKGROUND The oral route for tracheal intubation can interfere with some maxillofacial surgical procedures. At the same time, the nasal route can be contraindicated or impossible. Tracheostomy is the usual solution in these circumstances, but it carries a high incidence of complications. We tested the submandibular route for tracheal intubation as an alternative to tracheostomy in such situati...

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Submental tracheal intubation in a case of panfacial trauma.

Airway management of panfacial fractures is complicated. Treatment of fractures of such bones presents a certain difficulty as in not only do the fracture fragments have to be aligned but the teeth have to be kept in proper occlusion as well. To achieve a proper pre-traumatic occlusion, the occlusion has to be maintained and checked at all times during the surgery. There are many options for th...

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Airway management in submandibular abscess patient with awake fibreoptic intubation--a case report.

Securing the airway is a core skill in anaesthesia, the gold standard of which is tracheal intubation. Normally this is achieved after induction of anaesthesia. However, some circumstances demand an awake approach. Skilful airway management is critical in deep neck space infections. There is currently no universal agreement on the ideal method of airway control for these patients because this d...

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Evaluation of safety and usefulness of submental intubation in panfacial trauma surgery

OBJECTIVES Submental intubation has been advocated as an alternative to classical tracheostomy for certain indicated panfacial trauma surgeries. Surgeons should have various options for airway management in maxillofacial trauma patients. Most maxillofacial injuries involve occlusal derangements, which might require intraoperative occlusal corrections; hence, orotracheal intubation is not ideal....

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Submandibular intubation

Sharing the airway is a major concern for both anaesthetist and surgeon because the security of the airway may be jeopardized and the tracheal tube might impede the surgical field. This is seen typically in maxillofacial and ENTsurgeries. Nasal intubation is widely exercised by anaesthetists in maxillofacial surgery but difficulties arise with panfacial fractures when an unobstructed surgical f...

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ژورنال

عنوان ژورنال: Saudi Journal of Anaesthesia

سال: 2016

ISSN: 1658-354X

DOI: 10.4103/1658-354x.177341