Endotracheal Intubation Using Submandibular Approach for Maxillofacial Trauma Patients: Report of 2 Cases
Youn Gap-Hee, À¯¼±¿, ¿ÀÈñ±Õ, ¹ÚÈ«ÁÖ, Á¤½Â°ï, Á¤¼ºÅÂ, ±¹¹Î¼®,
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( Youn Gap-Hee ) - Chonnam National University School of Dentistry Department of Oral and Maxillofacial Surgery
À¯¼±¿ ( Ryu Sun-Youl ) - Chonnam National University School of Dentistry Department of Oral and Maxillofacial Surgery
¿ÀÈñ±Õ ( Oh Hee-Kyun ) - Chonnam National University School of Dentistry Department of Oral and Maxillofacial Surgery
¹ÚÈ«ÁÖ ( Park Hong-Ju ) - Chonnam National University School of Dentistry Department of Oral and Maxillofacial Surgery
Á¤½Â°ï ( Jung Seung-Gon ) - Chonnam National University School of Dentistry Department of Oral and Maxillofacial Surgery
Á¤¼ºÅ ( Jeong Seong-Tae ) - Chonnam National University Medical School Department of Anesthesiology and Pain Medicine
±¹¹Î¼® ( 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.
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Intubation; Skull base fracture; Submandibular
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