Treatment of panfacial trauma patient via submental intubation: a case report
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Airway management in complex craniomaxillofacial trauma surgery is an important factor, and the choice of the intubation technique is often difficult and challenging. The choice of the intubation technique requires good assessment by the multidisciplinary team that includes maxillofacial surgeons and neurosurgeons as well as good communication between them. Submental intubation is a technique that is maintained extraorally after the conventional orotracheal intubation and the tube is extruded through the incision site in the submental region. It is a useful and safe airway management technique for craniomaxillofacial trauma surgery. It makes it possible to perform reduction of the nasal-orbital-ethmoidal complex fracture, and LeFort I, II, III fractures simultaneously. The aim of this study is to report a case of a craniomaxillofacial trauma patient who had an accompanying periorbital space abscess and treatment was performed by open reduction and internal fixation via submental intubation with a review of literature. After considering the method, complications and indications, we suggest this technique for safe and useful airway management of craniomaxillofacial trauma surgery.
Abstract
Airway management in complex craniomaxillofacial trauma surgery is an important factor, and the choice of the intubation technique is often difficult and challenging. The choice of the intubation technique requires good assessment by the multidisciplinary team that includes maxillofacial surgeons and neurosurgeons as well as good communication between them. Submental intubation is a technique that is maintained extraorally after the conventional orotracheal intubation and the tube is extruded through the incision site in the submental region. It is a useful and safe airway management technique for craniomaxillofacial trauma surgery. It makes it possible to perform reduction of the nasal-orbital-ethmoidal complex fracture, and LeFort I, II, III fractures simultaneously. The aim of this study is to report a case of a craniomaxillofacial trauma patient who had an accompanying periorbital space abscess and treatment was performed by open reduction and internal fixation via submental intubation with a review of literature. After considering the method, complications and indications, we suggest this technique for safe and useful airway management of craniomaxillofacial trauma surgery.
참고문헌 (16)
- Biglioli F, "Submental orotracheal intubation: an alternative to tracheotomy in transfacial cranial base surgery", Skull Base, 13, pp.189~195 (2003)
- Caubi AF, "Submental intubation in oral maxillofacial surgery: review of the literature and analysis of 13cases", Med Oral Patol Oral Cir Bucal, 13, pp.E197~E200 (2008)
- Kishoria N, "Submental intubation an alternative to tracheostomy in patients with panfacial fracture", OA Case Reports, 3, pp.8~ (2014)
- Agrawal M, "Midline submental orotracheal intubation in maxillofacial injuries: a substitute to tracheostomy where postoperative mechanical ventilation is not required", J Anaesthesiol Clin Pharmacol, 226, pp.498~502
- Francisco Hernández Altemir, "The submental route for endotracheal intubation", Journal of Maxillofacial Surgery, 14, pp.64~65 (1986), Elsevier BV[DOI]
- Maclnnis E, "A modified submental approach for oral endotracheal intubation", Int J Oral Maxillofac Surg, 28, pp.344~346 (1999)
- Christophe Meyer, "Indication for and technical refinements of submental intubation in oral and maxillofacial surgery", Journal of Cranio-Maxillofacial Surgery, 31(6), pp.383~388 (2003), Elsevier BV[DOI]
- Davis WE, "Anatomy of the paranasal sinuses", Otolaryngol Clin North Am, 29, pp.57~74 (1996)
- Day TA, "Management of frontal sinus fractures with posterior table involvement:a retrospective study", J Craniomaxillofac Trauma, 4, pp.6~9 (1998)
- Donald PJ, "Frontal sinus ablation b7y cranialization. Report of 21 cases", Arch Otolaryngol, 108, pp.142~146 (1982)
- Givner LB, "Periorbital versus orbital cellulitis", Pediart infect Dis J, 21, pp.1157~1158 (2002)[DOI]
- Suneetha N, "Orbital abscess: management and outcome", Indian J Ophthalmol, 48, pp.129~134 (2000)
- Kim HS, "Ophthalmology", pp.210~218 (2014), ilchokak Publishing
- Jeffery JM, "Orbital fractures: a review", Clin ophthalmol, 5, pp.95~100 (2011)
- Petr Schütz, "Submental Intubation Versus Tracheostomy in Maxillofacial Trauma Patients", Journal of Oral and Maxillofacial Surgery, 66(7), pp.1404~1409 (2008), Elsevier BV[DOI]
- J.S. Jundt, "Submental intubation: a literature review", International Journal of Oral and Maxillofacial Surgery, 41(1), pp.46~54 (2012), Elsevier BV[DOI]