Endotracheal Intubation Using Submandibular Approach for Maxillofacial Trauma Patients: Report of 2 Cases
Youn Gap-Hee, 유선열, 오희균, 박홍주, 정승곤, 정성태, 국민석,
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( Youn Gap-Hee ) - Chonnam National University School of Dentistry Department of Oral and Maxillofacial Surgery
유선열 ( Ryu Sun-Youl ) - Chonnam National University School of Dentistry Department of Oral and Maxillofacial Surgery
오희균 ( Oh Hee-Kyun ) - Chonnam National University School of Dentistry Department of Oral and Maxillofacial Surgery
박홍주 ( Park Hong-Ju ) - Chonnam National University School of Dentistry Department of Oral and Maxillofacial Surgery
정승곤 ( Jung Seung-Gon ) - Chonnam National University School of Dentistry Department of Oral and Maxillofacial Surgery
정성태 ( Jeong Seong-Tae ) - Chonnam National University Medical School Department of Anesthesiology and Pain Medicine
국민석 ( Kook Min-Suk ) - Chonnam National University School of Dentistry Department of Oral and Maxillofacial Surgery
KMID : 0980220140140040227
Abstract
The indication for submandibular intubation is the requirement for intraoperative maxillomandibular fixation (MMF) in the presence of injuries that preclude nasotracheal intubation. Thus, We reported 2 cased of endotracheal intubations via submandibular approach that is applicable in patients with skull base fractures for a reliable general anesthesia. Endotracheal intubation via submandibular approach was applied during general anesthetic procedures for open reduction in three patients with Le Fort II, III or nasoorbitoethmoid (NOE) fractures. No complications due to submandibular intubation, such as infection, postoperative scarring, nerve injury, hematoma, bleeding, or orocutaneous fistula, were observed following submandibular intubation. Endotracheal intubation via submandibular approach is effective in patients with skull base fractures. In our method, the tube connector is removed in orotracheal intubation in order to avoiding the tube removal or displacement. The advantages of this method are very simple, safe, and to provide the good operation field.
키워드
Intubation; Skull base fracture; Submandibular
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