Treatment of panfacial trauma patient via submental intubation: a case report
안태웅, 유길화, 오민석, 박철민, 윤성회, Yoon Sun-Woong, 설가영, 이동근, 박영주, 신동수,
소속 상세정보
안태웅 ( Ahn Tae-Woong ) - Sun Dental Hospital Department of Oral and Maxillofacial Surgery
유길화 ( Yoo Kil-Hwa ) - Sun Dental Hospital Department of Oral and Maxillofacial Surgery
오민석 ( Oh Min-Seok ) - Sun Dental Hospital Department of Oral and Maxillofacial Surgery
박철민 ( Park Chul-Min ) - Sun Dental Hospital Department of Oral and Maxillofacial Surgery
윤성회 ( Yoon Seong-Hoe ) - Sun Dental Hospital Department of Oral and Maxillofacial Surgery
( Yoon Sun-Woong ) - Sun Dental Hospital Department of Oral and Maxillofacial Surgery
설가영 ( Seol Ka-Young ) - Sun Dental Hospital Department of Oral and Maxillofacial Surgery
이동근 ( Lee Dong-Keun ) - Sun Dental Hospital Department of Oral and Maxillofacial Surgery
박영주 ( Park Young-Ju ) - Sun Dental Hospital Department of Periodontology
신동수 ( Shin Dong-Soo ) - Sun Dental Hospital Department of Periodontology
Abstract
Airway management in complex craniomaxillofacial trauma surgery is an important factor, and the choice of the intubation technique is often difficult and challenging. The choice of the intubation technique requires good assessment by the multidisciplinary team that includes maxillofacial surgeons and neurosurgeons as well as good communication between them. Submental intubation is a technique that is maintained extraorally after the conventional orotracheal intubation and the tube is extruded through the incision site in the submental region. It is a useful and safe airway management technique for craniomaxillofacial trauma surgery. It makes it possible to perform reduction of the nasal-orbital-ethmoidal complex fracture, and LeFort I, II, III fractures simultaneously. The aim of this study is to report a case of a craniomaxillofacial trauma patient who had an accompanying periorbital space abscess and treatment was performed by open reduction and internal fixation via submental intubation with a review of literature. After considering the method, complications and indications, we suggest this technique for safe and useful airway management of craniomaxillofacial trauma surgery.
키워드
Coronal incision; Free airway; Panfacial trauma; Periorbital space abscess; Submental intubation
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