Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2009 Feb;53(1):84-7.

Submandibular approach for tracheal intubation - a case report

G Uma  1 , P N Viswanathan, P S Nagaraja
Affiliations

Submandibular approach for tracheal intubation - a case report

G Uma et al. Indian J Anaesth. 2009 Feb.

Abstract

Intubating a patient with panfacial fractures is always a challenge to the anaesthesiologist. In a 40-yr-old male patient with left Le Fort's III fracture with nasal bone and symphysis menti fracture, we successfully carried out oral endotracheal intubation which was then modified to submandibular approach to provide adequate surgical field. Initially oral endotracheal intubation was performed, then an incision was made in the submandibular region through which the endotracheal tube was brought out and maintained as submandibular approach throughout the surgery.

Keywords: Le Fort's fracture; Maxillofacial surgeries; Panfacial fractures; Submandibular intubation.

PubMed Disclaimer

Figures

Fig 1
Fig 1
After oral intubation
Fig 2
Fig 2
Position of the endotracheal tube after submandibular intubation
Fig 3
Fig 3
(a) Armoured and (b) regular portex endotracheal tubes
See this image and copyright information in PMC

References

    1. Anwer HMF, Zeitoun IM, Shehata EAA. Submandibular approach for tracheal intubation in patients with panfacial fractures. Br J Anaesth. 2007;98:835–40. - PubMed
    1. Altermir H. The submental route for endotracheal intubation: a new technique. J Maxillo fac Surg. 1986;14:64–5. - PubMed
    1. Durbin CG., Jr Early complications of tracheostomy. Respir Care. 2005;50:511–5. - PubMed
    1. Green JD, Moore UG. A modification of submental intubation. Br JAnaesth. 1996;77:789–91. - PubMed
    1. Mak PHK, Ooi RGB. Submental intubation in a patient with beta thalassaemia major undergoing elective maxillary and mandibular osteotomies. Br J Anaesth. 2002;88:288–91. - PubMed