Evaluation of safety and usefulness of submental intubation in panfacial trauma surgery
Singaram Mohanavalli, Ganesan Ilango, Kannan Radhika, Kumar Rajesh,
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( Singaram Mohanavalli ) - Postgraduates Institute of Medical Sciences and Research ESIC Medical College Departments of Dentistry
( Ganesan Ilango ) - Postgraduates Institute of Medical Sciences and Research ESIC Medical College Departments of Anesthesiology
( Kannan Radhika ) - Postgraduates Institute of Medical Sciences and Research ESIC Medical College Departments of Anesthesiology
( Kumar Rajesh ) - Postgraduates Institute of Medical Sciences and Research ESIC Medical College Departments of Dentistry
KMID : 0355620160420020099
Abstract
Objectives: Submental intubation has been advocated as an alternative to classical tracheostomy for certain indicated panfacial trauma surgeries. Surgeons should have various options for airway management in maxillofacial trauma patients. Most maxillofacial injuries involve occlusal derangements, which might require intraoperative occlusal corrections; hence, orotracheal intubation is not ideal. Maxillofacial surgeons generally prefer nasotracheal intubation; however, in cases with concomitant skull base fracture or nasal bone fracture, nasotracheal intubation might not be suitable; in these situations, tracheostomy is typically performed. However, the possible complications of tracheostomy are well known. Due to trauma situations and to avoid the complications of tracheostomy, submental intubation would be an ideal alternative procedure in selected maxillofacial trauma surgery patients. This study aimed to evaluate the safety and usefulness of a submental intubation technique for panfacial trauma surgery. Moreover, we intended to share our experience of submental intubation and to recommend this simple, safe procedure for certain panfacial trauma surgeries.
Materials and Methods: In five panfacial trauma patients, we performed submental intubation for airway management; the mean time required for the procedure was only eight minutes.
Results: We were able to execute this procedure safely in a short time without any intraoperative or postoperative complications.
Conclusion: Submental intubation is a safe and simple technique for airway management in indicated panfacial trauma surgery patients.
키워드
Panfacial trauma; Intubation; Tracheostomy; Maxillofacial injuries
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