Submental intubation: alternative short-term airway management in maxillofacial trauma
Kumar Ravi Raja, Vyloppilli Suresh, Sayd Shermil, Thangavelu Annamala, Joseph Benny, Ahsan Auswaf,
소속 상세정보
( Kumar Ravi Raja ) - St. Joseph Dental College Department of Oral and Maxillofacial Surgery
( Vyloppilli Suresh ) - Malankara Orthodox Syrian Church Medical College Department of Oral and Maxillofacial Surgery
( Sayd Shermil ) - KMCT Dental College and Hospitals Department of Oral and Maxillofacial Surgery
( Thangavelu Annamala ) - Rajah Muthiah Dental College & Hospital Department of Oral and Maxillofacial Surgery
( Joseph Benny ) - KMCT Dental College and Hospitals Department of Oral and Maxillofacial Surgery
( Ahsan Auswaf ) - KMCT Dental College and Hospitals Department of Oral Medicine and Radiology
KMID : 0355620160420030151
Abstract
Objectives: To assess submental route intubation as an alternative technique to a tracheostomy in the management of the airway in cranio-maxillofa-cial trauma, along with an assessment of its morbidity and complications.
Materials and Methods: Submental intubation was performed in 17 patients who had maxillofacial panfacial trauma and management was done un-der general anesthesia during a period of one year from 2013 to 2014 at Departments of Oral and Maxillofacial Surgery and Dentistry, the Malankara Orthodox Syrian Church Medical College, Kochi, India.
Results: In all 17 cases, the technique of submental intubation was found to be simple and reliable. Hypertrophic scars were noted in three cases, oro-cutaneous fistula and mucocele in one case each. All these complications were managed comfortably without significant morbidity to the patient.
Conclusion: Submental intubation is a good technique that can be used regularly in the management of the airway in cranio-maxillofacial trauma, but with some manageable complications.
키워드
General anesthesia; Oral intubation; Submental intubation; Tracheostomy; Maxillofacial trauma
원문 및 링크아웃 정보
등재저널 정보