Submental intubation including extubation: airway complications of maxillomandibular fixation
- PMID: 23304563
- PMCID: PMC3530757
- DOI: 10.1155/2012/841051
Submental intubation including extubation: airway complications of maxillomandibular fixation
Abstract
Hernandez first described the submental route for endotracheal intubation in 1986 as an alternative airway maneuver for maxillofacial procedures. Since that time, several case studies have been performed demonstrating the efficacy of the submental approach. This method was recently implemented in the case of a patient with altered nasal anatomy who sustained a mandibular fracture necessitating maxillomandibular fixation. Unlike most of the cases described in the literature, this patient's operative course was confounded by the need to extubate through the submental tunnel. The patient tolerated the procedure well and was able to avoid other forms of surgical airway.
References
-
- Hernandez A. The submental route for endotracheal intubation. Journal of Oral and Maxillofacial Surgery. 1986;14:p. 645. - PubMed
-
- Meyer C, Valfrey J, Kjartansdottir T, Wilk A, Barrière P. Indication for and technical refinements of submental intubation in oral and maxillofacial surgery. Journal of Cranio-Maxillofacial Surgery. 2003;31(6):383–388. - PubMed
-
- Caubi AF, Vasconcelos BCDE, Vasconcellos RJDH, De Morais HHA, Rocha NS. Submental intubation in oral maxillofacial surgery: review of the literature and analysis of 13 cases. Medicina Oral, Patologia Oral y Cirugia Bucal. 2008;13(3):197–200. - PubMed
-
- Nyárády Z, Sári F, Olasz L, Nyárády J. Submental endotracheal intubation in concurrent orthognathic surgery: a technical note. Journal of Cranio-Maxillofacial Surgery. 2006;34(6):362–365. - PubMed
-
- Davis C. Submental intubation in complex craniomaxillofacial trauma. ANZ Journal of Surgery. 2004;74(5):379–381. - PubMed
LinkOut - more resources
Full Text Sources