2013
DOI: 10.14260/jemds/1238
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Submental Intubation - A New Approach in Panfacial Trauma

Abstract: ABSTRACT:The submental route for endotracheal intubation is an alternative to nasal intubation or tracheostomy in the surgical management of patients with complex cranio-maxillofacial injuries. The critical indication for submental intubation is the requirement for intraoperative maxillamandibular fixation (MMF) in the presence of injuries that preclude nasal intubation and in a situation where a tracheostomy is not otherwise required. MMF to re-establish dental occlusion is essential for a normal functional r… Show more

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Cited by 1 publication
(2 citation statements)
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References 13 publications
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“…This type of intubation has the advantage of not interfering with the dental occlusion during surgery, avoiding the NOE area preventing accidental migration of the endotracheal tube into the cranial cavity or meningitis due to nasal instrumentation [7]. Gandhi et al [8] clearly defined the critical indication of SEI as the patient in whom nasal intubation is contraindicated due to severity of the injury and otherwise doesn't require tracheostomy but requires intra-operative maxillomandibular fixation during surgery.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…This type of intubation has the advantage of not interfering with the dental occlusion during surgery, avoiding the NOE area preventing accidental migration of the endotracheal tube into the cranial cavity or meningitis due to nasal instrumentation [7]. Gandhi et al [8] clearly defined the critical indication of SEI as the patient in whom nasal intubation is contraindicated due to severity of the injury and otherwise doesn't require tracheostomy but requires intra-operative maxillomandibular fixation during surgery.…”
Section: Discussionmentioning
confidence: 99%
“…The pain was recorded as a visual analogue scale pain (VAS-Pain) score of 0-10 where 0 is no pain and 10 is maximum pain. Further VAS was categorized as mild (1-3), moderate (4-7) and severe (8)(9)(10). The VAS pain was evaluated on the third post-operative day and seventh postoperative day.…”
Section: Methodsmentioning
confidence: 99%