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...

in 1986 altemir, for the first time, described submental intubation for maxillofacial cases. a problem with the technique is that the edges of the tube may damage the anatomic tissues of the mouth floor. to avoid such damages, a modification of this technique using nasal speculum is presented here. moreover, with this technique blood and detached tissues cannot enter into the endotracheal tube ...

Airway management in patients with complex maxillofacial injuries is a challenge to anesthesiologists. Submental intubation is a useful technique that is less invasive than tracheostomy in securing the airways where orotracheal and nasotracheal intubation cannot be performed. This procedure avoids the use of tracheostomy and bypasses its associated morbidities. A flexible and kink-resistant rei...

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...

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...

Abstract Background Submental intubation is an airway management technique wherein endotracheal tube guided through incisions in the floor of mouth and submental skin after normal orotracheal intubation. Case presentation A 20‐year‐old man with a history pharyngeal flap construction for cleft palate was planned orthognathic surgery. Preoperative nasopharyngoscopy showed that space lateral to to...

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...

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...

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...