Submental intubation is an interesting alternative to tracheostomy, especially when short-term postoperative control of airway is desirable with the presence of undisturbed access to oral as well as nasal airways and a good dental occlusion. Submental intubation with midline incision has been used in 10 cases from October 2008 to March 2010 in the Department of Oral and Maxillofacial Surgery, M...

Submental endotracheal intubation is a simple and secure alternative to either nasoendotracheal intubation or a tracheostomy in the airway management of maxillofacial trauma. However, a submental endotracheal intubation is quite difficult to manage if adverse events such as a tube obstruction, accidental extubation, or a leaking cuff with the endotracheal tube in the submental route occur, whic...

Management of Airway in patients with complex maxillofacial trauma is challenging due to disruption of components of upper airway. Submental intubation is a simple, quick and effective alternative to oral and nasal intubation or tracheostomy.This provides a secure airway and allows unimpeded surgical access to the oral cavity and midface, whilst avoiding the potential complications associated w...

Aims & Objective: Assessment of submental intubation as an intubation option for the facial trauma cases Material &Methods: 15 patients were intubated with submental approach in our institution during a one year time period from August 2009 to July 2010. Result: In our patients, submental intubation gave a better airway intubation for the reduction and fixation of all the facial fracture and in...

Intermaxillary fixation (IMF) is an essential guide to optimize the reduction and fixation of most facial fractures associated with occlusal alterations. To allow IMF, nasotracheal intubation is used in most cases. When nasotracheal intubation is not possible, a tracheostomy may be indicated, but this carries significant morbidity. Submental endotracheal intubation allows IMF to be used without...

macinnis and baig modified altemirs’ original technique for sub‑mental intubation. instead of a lateral entry, they described a central entry just anterior to the sub‑mental crease that does not carry the risk of damage to the lingual nerves, submandibular ducts and sublingual glands. we describe here our experience with this modified sub‑mental intubation that also allows the operating surgeon...

1. Thompson JN, Gibson B, Kohut RI: Airway obstruction in LeFort fractures. Laryngoscope 1997; 97:275-9 2. Gotta AW: MaXilhfacial trauma, Textbook of Trauma Anesthesia and Critical <:are. Edited by Christopher M. Grande. Missouri, Mosby Year-Book Inc., 1993, pp 529-39 3 . Schultz KC: Nasotracheal intubation in the presence of Eicial fractures. Plast Reconstr Surg 1990; 86: I046 4. Gordon NC, To...

intubating a patient with panfacial fractures is always a challenge to the anesthesiologist as both the anesthesiologist and the surgeon are essentially competing for the same space. the anesthetic management of a 19-year-old boy who presented with multiple maxillofacial injuries, pneumocephalus, and cerebral edema sustained during a road traffic accident has been described. he was posted for o...

Submental tracheal intubation is a simple, quick and effective alternative to oral and nasal tracheal intubation or tracheostomy in the surgical management of selected patients with craniomaxillofacial injuries. It has a low morbidity and it does not impede the surgical field, allowing for temporary maxillo-mandibular fixation (jaw wiring) intra-operatively, and nasal assessment, manipulation a...