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Facial fractures and submental tracheal intubation
Author(s) -
Amin M.,
DillRussell P.,
Manisali M.,
Lee R.,
Sinton I.
Publication year - 2002
Publication title -
anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.839
H-Index - 117
eISSN - 1365-2044
pISSN - 0003-2409
DOI - 10.1046/j.1365-2044.2002.02624_1.x
Subject(s) - medicine , intubation , nasal bone , surgery , tracheal intubation , fixation (population genetics) , facial trauma , skull , airway management , dentistry , anesthesia , population , environmental health
Summary Submental tracheal intubation is a simple, quick and effective alternative to oral and nasal tracheal intubation or tracheostomy in the surgical management of selected patients with craniomaxillofacial injuries. It has a low morbidity and it does not impede the surgical field, allowing for temporary maxillo‐mandibular fixation (jaw wiring) intra‐operatively, and nasal assessment, manipulation and bone grafting, either simultaneously or as an independent procedure. We report 12 cases utilizing this technique in this retrospective study, this includes 11 patients with mid‐facial fractures and associated base of skull fractures, and one patient who underwent an elective Le Fort III advancement. The techniques and indications for submental tracheal intubation are described.