Evaluation of safety and usefulness of submental intubation in panfacial trauma surgery
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Objectives: Submental intubation has been advocated as an alternative to classical tracheostomy for certain indicated panfacial trauma surgeries. Sur-geons 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 situ-ations, 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 pa-tients. 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.
Abstract
Objectives: Submental intubation has been advocated as an alternative to classical tracheostomy for certain indicated panfacial trauma surgeries. Sur-geons 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 situ-ations, 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 pa-tients. 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.
참고문헌 (10)
- Hernández Altemir F, "The submental route for endotracheal intubation:a new technique", J Maxillofac Surg, 14, pp.64~65 (1986)
- Kar C, "Submental intubation: an alternative and costeffective technique for complex maxillofacial surgeries", J Maxillofac Oral Surg, 9, pp.266~269 (2010)
- Navaneetham A, "Submental intubation:our experience", J Maxillofac Oral Surg, 9, pp.64~67 (2010)
- Taicher S, "Changing indications for tracheostomy in maxillofacial trauma", J Oral Maxillofac Surg, 54, pp.292~295 (1996)
- Amin M, "Facial fractures and submental tracheal intubation", Anaesthesia, 57, pp.1195~1199 (2002)
- MacInnis E, "A modified submental approach for oral endotracheal intubation", Int J Oral Maxillofac Surg, 28, pp.344~346 (1999)
- Agrawal M, "Midline submental orotracheal intubation in maxillofacial injuries: a substitute to tracheostomy where postoperative mechanical ventilation is not required", J Anaesthesiol Clin Pharmacol, 26, pp.498~502 (2010)
- Rungta N, "Technique of retromolar and submental intubation in facio-maxillary trauma patients", Indian J Trauma Anaesth Crit Care, 8, pp.573~575 (2007)
- Franco J, "Submental intubation:an alternative to tracheostomy when nasoendotracheal intubation is unsuccessful--a case report", Can J Plast Surg, 17, pp.e37~38 (2009)
- Meyer C, "Indication for and technical refinements of submental intubation in oral and maxillofacial surgery", J Craniomaxillofac Surg, 31, pp.383~388 (2003)