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. 2002 Dec;57(12):1195-9.
doi: 10.1046/j.1365-2044.2002.02624_1.x.

Facial fractures and submental tracheal intubation

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Free article

Facial fractures and submental tracheal intubation

M Amin et al. Anaesthesia. 2002 Dec.
Free article

Abstract

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 and bone grafting, either simultaneously or as an independent procedure. We report 12 cases utilizing this technique in this retrospective study, this includes 11 patients with mid-facial fractures and associated base of skull fractures, and one patient who underwent an elective Le Fort III advancement. The techniques and indications for submental tracheal intubation are described.

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Comment in

  • About submental intubation.
    Altemir FH, Montero SH, Peña MM. Altemir FH, et al. Anaesthesia. 2003 May;58(5):496-7. doi: 10.1046/j.1365-2044.2003.03154_20.x. Anaesthesia. 2003. PMID: 12694024 No abstract available.
  • Hazards of submental tracheal intubation.
    Ahmed FB, Mitchell V. Ahmed FB, et al. Anaesthesia. 2004 Apr;59(4):410-1. doi: 10.1111/j.1365-2044.2004.03725.x. Anaesthesia. 2004. PMID: 15023125 No abstract available.

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