It can be challenging to create a safe airway in maxilla facial fracture and some skull surgeries. In this case study, the patient experienced jaw fractures that disturbed the dental occlusion and associated fracture of the base of the skull. Neither nasal nor oral intubation was possible based on the side effects of tracheotomy; therefore, submental intubation was applied successfully. The pro...

B ronchofiberoscopy for examination of the tracheobronchial tree has considerable advantages over conventional rigid bronchoscopy, not the least of which is ease of insertion into a lightly sedated patient. Introduction of the bronchofiber-scope via a sterile nasopharyngeal airway facilitates its passage, prevents its contamination by nasal secretions and protects the nasal mucosa from trauma (...

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...

OBJECTIVES Various different methods of intubation are suitable for facial trauma cases. A choice often has to be made between orotracheal and nasotracheal 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. STUDY DESIGN From July 2003 to February 2005, 13 suffer...

1 Parameswari A, Vakamudi M, Manickam A et al. Nasal fiberoptic–guided oral tracheal intubation in neonates and infants with Pierre Robin sequence. Pediatr Anesth 2011; 21: 170–171. 2 Xue FS, Luo MP. Management of difficult pediatric airways. In: Xue FS, eds. Modern Airway Management: A Key Technique for Clinical Anesthesia and Critical Care Medicine. Zheng-Zhou: Zheng-Zhou University Publishin...