Surgical repair of complex maxillofacial trauma presents a challenge to the surgeon and anaesthetist. Submental intubation is an alternative where oral and nasal intubation cannot be used. We present a case where tracheostomy was avoided in a patient with multiple maxillofacial fractures by opting for sub-mental endotracheal intubation technique. Time required for intubation, accidental extubation, postoperative complications, and the healing of intraoral and submental scars were evaluated. The technique avoids the complications associated with tracheostomy.

Presenting a case of 16 years old male with a sub lingual swelling causing discomfort in deglutition and speech is reported in this case report. The swelling had displaced the tongue cranially Sublingual dermoid cyst is a very rare lesion occurring in oral and maxillofacial area. Epidermoid and dermoid cysts represent less than 0.01% of all oral cavity cysts. The pathology was diagnosed as sub lingual dermoid cyst by histopathological examination. It was completely excised through an intra-oral approach. Post-operatively normal functions of tongue were restored.