Open AccessSubmental orotracheal intubation: A better alternative to tracheostomy in panfacial fractures
Author(s) -
Prasant mohan Chandra,
Fareedi Mukram Ali,
Anuroop Singhai,
Anupama Mudhol,
Farheen Ustad
Publication year - 2013
Publication title -
al-banǧ. maqālāt wa abḥāṯ fī al-taẖdīr wa-al-in’āš
Language(s) - English
Resource type - Journals
ISSN - 0259-1162
DOI - 10.4103/0259-1162.123278
Subject(s) - orotracheal intubation , medicine , accidental , intubation , endotracheal intubation , surgery , anesthesia , airway , dentistry , physics , acoustics
Surgical repair of complex maxillofacial trauma presents a challenge to the surgeon and anaesthetist. Submental intubation is an alternative where oral and nasal intubation cannot be used. We present a case where tracheostomy was avoided in a patient with multiple maxillofacial fractures by opting for sub-mental endotracheal intubation technique. Time required for intubation, accidental extubation, postoperative complications, and the healing of intraoral and submental scars were evaluated. The technique avoids the complications associated with tracheostomy.