Submental intubation for orthognathic surgery in a patient with a history of pharyngeal flap construction: A case report

Background Submental intubation is an airway management technique wherein an endotracheal tube is guided through incisions in the floor of the mouth and the submental skin after normal orotracheal intubation. Case presentation A 20‐year‐old man with a history of pharyngeal flap construction for a cl...

Full description

Saved in:
Bibliographic Details
Published in:Oral science international 2024-05, Vol.21 (2), p.298-303
Main Authors: Isatsu, Takayuki, Kobayashi, Yoshikazu, Sekimoto, Yu, Kim, Min Jung, Aizawa, Takako, Yoshida, Mitsuyoshi
Format: Article
Language:English
Subjects:
cleft lip and palate
nasopharyngeal endoscopy
orthognathic surgery
pharyngeal flap
submental intubation
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Background Submental intubation is an airway management technique wherein an endotracheal tube is guided through incisions in the floor of the mouth and the submental skin after normal orotracheal intubation. Case presentation A 20‐year‐old man with a history of pharyngeal flap construction for a cleft palate was planned for orthognathic surgery. Preoperative nasopharyngoscopy showed that the space lateral to the flap was too narrow for nasotracheal intubation; then submental intubation was performed. No intra‐ or postoperative complications were observed. Conclusion Submental intubation is a useful alternative to tracheotomy in patients with difficulty in nasotracheal intubation during surgeries requiring occlusal confirmation.
ISSN:1348-8643
1881-4204
DOI:10.1002/osi2.1215