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. 2014 Jan;58(1):48-50.
doi: 10.4103/0019-5049.126795.

A novel method using Seldinger's technique for submental intubation in major craniomaxillofacial fractures: A case series

Shaik Mastan Saheb  1 , Vemuri Nagendra Nath  1 , K Phani Kumar  2 , Pilli Parama Geetha Padmaja  1
Affiliations

A novel method using Seldinger's technique for submental intubation in major craniomaxillofacial fractures: A case series

Shaik Mastan Saheb et al. Indian J Anaesth. 2014 Jan.

Abstract

Airway management is a challenge to anesthesiologists particularly in maxillofacial surgeries. The oral tracheal tube is unsuitable because it interferes with the surgical field and prevents dental occlusion. Nasotracheal intubation may not always be possible due to structural deformity or trauma to the nasal bones. Tracheostomy and submental intubation have their drawbacks. To overcome these shortcomings we used Percutaneous Dilatational Tracheostomy Kit (PDTK) to modify the technique of submental intubation. Serial dilatations were performed over the guide wire before passing the tracheal tube by submental route, using the PDT kit in four patients. Submental intubation could be achieved in all the four cases with this technique and there were no associated complications. Seldinger's technique is a simple and easy technique with minimal bleeding, imperceptible scar, and more importantly anesthesiologists feel more comfortable because of their familiarity with the Seldinger technique.

Keywords: Maxillofacial surgeries; percutaneous dilatational tracheostomy kit; seldinger's technique.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
Percutaneous tracheostomy set (cook critical care)
Figure 2
Figure 2
(a) Insertion of needle with cannula. (b) Passing guide wire and sheath through cannula
Figure 3
Figure 3
(a) Insertion of needle with cannula. (b) Endotracheal tube brought out
See this image and copyright information in PMC

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