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. 2008 Nov;1(1):39-47.
doi: 10.1055/s-0028-1098962.

Comprehensive airway management of patients with maxillofacial trauma

Robert M Kellman  1 , William D Losquadro
Affiliations

Comprehensive airway management of patients with maxillofacial trauma

Robert M Kellman et al. Craniomaxillofac Trauma Reconstr. 2008 Nov.

Abstract

Airway management in patients with maxillofacial trauma is complicated by injuries to routes of intubation, and the surgeon is frequently asked to secure the airway. Airway obstruction from hemorrhage, tissue prolapse, or edema may require emergent intervention for which multiple intubation techniques exist. Competing needs for both airway and surgical access create intraoperative conflicts during repair of maxillofacial fractures. Postoperatively, edema and maxillomandibular fixation place the patient at risk for further airway compromise.

Keywords: Airway obstruction; facial injuries; intubation; jaw fractures; laryngeal masks; mandibular fractures; maxillary fractures; maxillofacial injuries; tracheostomy.

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Figures

Figure 1
Figure 1
Manual inline stabilization.
Figure 2
Figure 2
Bullard laryngoscope.
Figure 3
Figure 3
Gum elastic bougie.
Figure 4
Figure 4
GlideScope video laryngoscope. (Reprinted with permission from Verathon, Inc., Bothell, WA.)
Figure 5
Figure 5
Fiberoptic bronchoscope with attached endotracheal tube.
Figure 6
Figure 6
Intubating laryngeal mask airway.
Figure 7
Figure 7
Esophageal/tracheal Combitube.
Figure 8
Figure 8
Curved endotracheal tube connector.
Figure 9
Figure 9
Submental intubation.
See this image and copyright information in PMC

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