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
Case Reports
. 2016 Sep;6(2):68-71.
doi: 10.15280/jlm.2016.6.2.68. Epub 2016 Sep 30.

Submental Intubation in Patients with Complex Maxillofacial Injuries

Yuseon Cheong  1 , Seong Sik Kang  1 , Minsoo Kim  1 , Hee Jeong Son  1 , Jaewoo Park  1 , Jeong-Mo Kim  2
Affiliations
Case Reports

Submental Intubation in Patients with Complex Maxillofacial Injuries

Yuseon Cheong et al. J Lifestyle Med. 2016 Sep.

Abstract

Airway management in patients with complex maxillofacial injuries is a challenge to anesthesiologists. Submental intubation is a useful technique that is less invasive than tracheostomy in securing the airways where orotracheal and nasotracheal intubation cannot be performed. This procedure avoids the use of tracheostomy and bypasses its associated morbidities. A flexible and kink-resistant reinforced endotracheal tube with detachable universal connector is commonly used for submental intubation. Herein, we report cases involving submental intubation using a reinforced endotracheal tube with a non-detachable universal connector in patients with complex maxillofacial injuries.

Keywords: Intubation; Maxillofacial injuries; Submental.

PubMed Disclaimer

Figures

Fig. 1
Fig. 1
Three-dimensional reconstructed image of the patient in case 1.
Fig. 2
Fig. 2
The patient with submental intubation.
Fig. 3
Fig. 3
Reinforced endotracheal tube with detached universal connector.
See this image and copyright information in PMC

References

    1. Marlow TJ, Goltra DD, Jr, Schabel SI. Intracranial placement of a nasotracheal tube after facial fracture: a rare complication. J Emerg Med. 1997;15:187–91. doi: 10.1016/S0736-4679(96)00356-3. - DOI - PubMed
    1. Rhee KJ, Muntz CB, Donald PJ, Yamada JM. Does nasotracheal intubation increase complications in patients with skull base fractures? Ann Emerg Med. 1993;22:1145–7. doi: 10.1016/S0196-0644(05)80980-1. - DOI - PubMed
    1. Waldron J, Padgham ND, Hurley SE. Complications of emergency and elective tracheostomy: a retrospective study of 150 consecutive cases. Ann R Coll Surg Engl. 1990;72:218–20. - PMC - PubMed
    1. Gilyoma JM, Balumuka DD, Chalya PL. Ten-year experiences with Tracheostomy at a University teaching hospital in Northwestern Tanzania: A retrospective review of 214 cases. World J Emerg Surg. 2011;6:38. doi: 10.1186/1749-7922-6-38. - DOI - PMC - PubMed
    1. Hernandez Altemir F. The submental route for endotracheal intubation. A new technique. J Maxillofac Surg. 1986;14:64–5. doi: 10.1016/S0301-0503(86)80261-2. - DOI - PubMed

Publication types

LinkOut - more resources