Transmylohyoid orotracheal intubation: case series and review

Abstract Study Objective To evaluate the outcome of airway management in patients with complex maxillofacial fracture by submental intubation, time required for intubation, accidental extubation, and postoperative complications. Design Retrospective study. Setting University-affiliated hospital. Mea...

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Bibliographic Details
Published in:Journal of clinical anesthesia 2012-09, Vol.24 (6), p.460-464
Main Authors: Badjate, Samprati J., BDS, MDS, Shenoi, S.R., BDS, MDS, Budhraja, Nilima J., MDS, Ingole, Pranav, MDS
Format: Article
Language:English
Subjects:
Adolescent
Adult
Airway Management - methods
Anesthesia & Perioperative Care
Extubation
Fistula
Fractures
Hospitals, University
Humans
Injuries
Intubation
Intubation, Intratracheal - methods
Male
Maxillofacial Injuries - complications
Maxillofacial Injuries - pathology
Mouth
Ostomy
Pain Medicine
Patients
Postoperative Complications - epidemiology
Retrospective Studies
Skull Fractures - complications
Skull Fractures - pathology
Surgical techniques
Sutures
Time Factors
Tracheotomy
Trauma
Veins & arteries
Ventilators
Young Adult
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Summary:Abstract Study Objective To evaluate the outcome of airway management in patients with complex maxillofacial fracture by submental intubation, time required for intubation, accidental extubation, and postoperative complications. Design Retrospective study. Setting University-affiliated hospital. Measurements The medical records of the 10 patients who underwent submental intubation from December 2008 to June 2011 were reviewed. Main Results At the end of the procedure, all 10 patients were extubated without any complications. Postoperatively, only one patient presented with superficial infection of the submental wound. Conclusions Submental endotracheal intubation is a simple technique with very low morbidity, and may be used as an alternative to tracheostomy in selected cases of maxillofacial trauma.
ISSN:0952-8180
1873-4529
DOI:10.1016/j.jclinane.2011.12.007