Submental endotracheal intubation in concurrent orthognathic surgery: A technical note

Nyárády, Zoltán; Sári, Ferenc; Olasz, Lajos; Nyárády, J

doi:10.1016/j.jcms.2006.04.003

Cited by 50 publications

(36 citation statements)

References 15 publications

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“…It was described 20 years ago (Hernández-Altemir, 1984) [15] and has been used in patients with contraindications for oral or nasotracheal intubation, such as the treatment of multiple facial fractures for which transoperative IMF is necessary, some cases of orthognathic surgery [4] and skull base surgery. [16] About 2.5-4.4% of all facial fractures are associated with cranial base fractures.…”

Section: Discussionmentioning

confidence: 99%

“…Nasotracheal intubation, on the other hand, allows most intraoral and extraoral approaches and leaves the oral cavity free of interferences for intermaxillary fixation (IMF). [1] Some conditions, nonetheless, contraindicate the use of a nasotracheal tube, [2][3][4] and for those cases, a tracheostomy is the most commonly used method for establishing an airway. [5] In 1984, Spanish author Hernández-Altemir first described the use of a submental approach for orotracheal intubation.…”

mentioning

confidence: 99%

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The submental endotracheal intubation as an alternative to tracheostomy in selected cases of the facial fracture: literature review and technique report.

Junior¹,

Kluppel²,

Pereira-Stabile³

et al. 2012

Ulus Travma Acil Cerrahi Derg

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

The submental endotracheal intubation as an alternative to tracheostomy in selected cases of the facial fracture: literature review and technique report.

Junior¹,

Kluppel²,

Pereira-Stabile³

et al. 2012

Ulus Travma Acil Cerrahi Derg

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“…Nasotracheal intubation is a contraindication in cases of trauma of the skull base (Arrowsmith et al 1998, Marlow et al 1997, Rhee et al 1993) [1,10,12,13] because of possibility of iatrogenic meningitis, difficult intubation and difficulty in performing treatment of fractures of the nasal pyramid at the same time (Smoot et al 1997) [15,16,18].…”

Section: Discussionmentioning

confidence: 99%

Submental intubation: our experience

Navaneetham¹,

Thangaswamy

Rao

2010

J. Maxillofac. Oral Surg.

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Introduction Airway management for patients who suffered midfacial fractures is complicated. In maxillofacial injuries, a choice has often to be made between different ways of intubation when surgical access to both the nasal and oral cavities is necessary. Submental intubation technique is an alternative to nasoendotracheal intubation and tracheostomy in the management of patients with severe midfacial fractures. This procedure is simple to do and has a low morbidity. Material Submental intubation-paramedian technique has been used in 15 cases from

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“…Nyarady et al [37] proposed the usage of a sterile nylon guiding tube which was placed over the distal end of the tube incorporating the pilot balloon and tube which again reduced the complications associated with tube damage. The morbidity associated with submental endotracheal intubation seems to be very low.…”

Section: Discussionmentioning

confidence: 99%

Assessment of the Efficacy of Submental Intubation in the Management of Midfacial and Panfacial Trauma Patients

Kumar

Mohan

et al. 2014

J. Maxillofac. Oral Surg.

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Introduction Securing an airway in maxillofacial injuries remains a challenge and is an important objective on the part of a maxillofacial surgeon to thoroughly understand its management. Purpose The aim of this study was to evaluate the efficacy and complications of submental intubation in the management of midfacial/panfacial trauma patients where oro-endotracheal or naso-endotracheal intubation is contraindicated and tracheostomy can be avoided. Patients and Methods Twenty patients with maxillofacial injuries were selected for submental intubation who were admitted in Kamineni Hospital, Narketpally, Nalgonda during a 2 year period (2010)(2011)(2012). The parameters used to assess the efficacy were; restoration of the occlusion, duration of the surgery, presence of scar, presence of infection, damage to vital structures or any post-operative salivary fistula. Results Submental intubation allowed reduction and fixation of all fractures without the interference of the tube during surgical procedure in all of the patients. There were no intra-operative complications and none of the patients required post-operative ventilation. There were no significant post-operative complications. However, in one of the cases (case 4) infection of submental wound was seen and in another case (case 11) salivary fistula was formed. Both the cases were appropriately managed without any difficulty. The submental scar was well accepted by all the patients. Conclusion Submental intubation is a safe and extremely useful procedure in severe maxillofacial injuries. It presents a low incidence of operative and post operative complications. It allows both the surgeon and the anaesthetist to deliver a better quality of patient care.

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Submental endotracheal intubation in concurrent orthognathic surgery: A technical note

Cited by 50 publications

References 15 publications

The submental endotracheal intubation as an alternative to tracheostomy in selected cases of the facial fracture: literature review and technique report.

The submental endotracheal intubation as an alternative to tracheostomy in selected cases of the facial fracture: literature review and technique report.

Submental intubation: our experience

Assessment of the Efficacy of Submental Intubation in the Management of Midfacial and Panfacial Trauma Patients

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