Hernandez first described the submental route for endotracheal intubation in 1986 as an alternative airway maneuver for maxillofacial procedures. Since that time, several case studies have been performed demonstrating the efficacy of the submental approach. This method was recently implemented in the case of a patient with altered nasal anatomy who sustained a mandibular fracture necessitating ...

Introduction: To describe a modified technique for submental intubation in severely traumatized maxillofacial patients and to evaluate complications arising from the procedure.  Materials and Methods: Submental intubation was performed in twelve patients with maxillofacial trauma ,from 2007 – 2012, which were operated under general anesthesia for treatment of facial fractures. Results: The pati...

Submental intubation is an effective alternative technique for airway management in patients with maxillofacial trauma. Compared tracheostomy, it less invasive, but has risks associated potential compromise such as hypoxia due to tube obstruction, collapse, and kinking. To shorten procedure time ensure a reinforced lumen, we used laparoscopic trocar new device submental intubation. A 54-year-ol...

Objectives Airway management in patients with panfacial trauma is complicated. In addition to involving facial lesions, such trauma compromises the airway, and the use of intermaxillary fixation makes it difficult to secure ventilation by usual approaches (nasotracheal or endotracheal intubation). Submental airway derivation is an alternative to tracheostomy and nasotracheal intubation, allowin...

introduction: to describe a modified technique for submental intubation in severely traumatized maxillofacial patients and to evaluate complications arising from the procedure.  materials and methods: submental intubation was performed in twelve patients with maxillofacial trauma ,from 2007 – 2012, which were operated under general anesthesia for treatment of facial fractures. results: the pati...

BACKGROUND The incidence of a difficult laryngoscopy/intubation, which could lead to failed intubation is in the range of 1.5%-13%. Failed intubation may lead to hypoxia, brain damage or death. Preoperative evaluation of the airway can be accomplished by non-invasive bedside clinical tests during physical examination. We studied interobserver variability for non-invasive prediction of difficult...

discussion the vigilance and experience of medical personnel in the icu, appropriate iv sedation, and using a bite block are the best ways to prevent mortality caused by aspiration of an ett in all intubated patients. case presentation we report a case of death caused by tracheal tube aspiration, where it was located distal to the vocal cords, with a part of it entering the right bronchus and t...

Submental intubation (SI) has been proposed as an alternative to nasoendotracheal intubation when oral endotracheal intubation is contraindicated. In patients who require intubation for maxillofacial reconstruction, this is an alternative to a traditional tracheostomy. The present case report presents an 18-year-old woman who suffered a comminuted mandibular fracture. Two days after her acciden...

INTRODUCTION To describe a modified technique for submental intubation in severely traumatized maxillofacial patients and to evaluate complications arising from the procedure. MATERIALS AND METHODS Submental intubation was performed in twelve patients with maxillofacial trauma ,from 2007-2012, which were operated under general anesthesia for treatment of facial fractures. RESULTS The patien...

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....