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Case Reports
. 2021 Jan 18;14(1):e239817.
doi: 10.1136/bcr-2020-239817.

Retromolar intubation for severe trismus: a less invasive alternative to tracheostomy and submental intubation

Brandon Michael Togioka  1 , Vincent Pinkert  2 , Mathew Geltzeiler  3 , Elliza M Chen  2
Affiliations
Case Reports

Retromolar intubation for severe trismus: a less invasive alternative to tracheostomy and submental intubation

Brandon Michael Togioka et al. BMJ Case Rep. .
No abstract available

Keywords: anaesthesia; ear; mouth; nose and throat/otolaryngology.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
Measurement of interincisor distance with maximal mouth opening.
Figure 2
Figure 2
Retraction of skin at the angle of the mouth to reveal endotracheal tube position in the left retromolar space.
See this image and copyright information in PMC

References

    1. van der Geer SJ, van Rijn PV, Kamstra JI, et al. . Prevalence and prediction of trismus in patients with head and neck cancer: a cross-sectional study. Head Neck 2019;41:64–71. 10.1002/hed.25369 - DOI - PMC - PubMed
    1. Cipriano A, Mao ML, Hon HH, et al. . An overview of complications associated with open and percutaneous tracheostomy procedures. Int J Crit Illn Inj Sci 2015;5:179–88. 10.4103/2229-5151.164994 - DOI - PMC - PubMed
    1. Dutta A, Kumar V, Saha SS, et al. . Retromolar tracheal tube positioning for patients undergoing faciomaxillary surgery. Can J Anaesth 2005;52:341. 10.1007/BF03016082 - DOI - PubMed
    1. Truong A, Truong D-T. Retromolar fibreoptic orotracheal intubation in a patient with severe trismus undergoing nasal surgery. Can J Anaesth 2011;58:460–3. 10.1007/s12630-011-9474-x - DOI - PubMed
    1. Arora S, Rattan V, Bhardwaj N. An evaluation of the retromolar space for oral tracheal tube placement for maxillofacial surgery in children. Anesth Analg 2006;103:1122–5. 10.1213/01.ane.0000247852.09732.ec - DOI - PubMed

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