The submental route revisited using the laryngeal mask airway: a technical note

Altemir, Francisco Hernández; Montero, Sofı́a Hernández

doi:10.1054/jcms.2000.0175

Cited by 36 publications

(9 citation statements)

References 9 publications

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“…17 Various modifications of Altemir's technique have been reported in the literature with their own advantages and disadvantages. Anatomic modification includes Stoll et al, 18 MacInnis and Baig, 19 Taglialatela et al 20 and Mahmood et al 21 Anesthetic modification includes Green and Moore, 22 and Montero, 23 Drolet et al, 24 Amin et al 25 and Lim et al 26 In our study, we performed Altemir's original technique for submental intubation for management of panfacial fractures as per departmental protocol. Contraindications for this technique are infection at the site of incision, bleeding diathesis, disrupted laryngotracheal anatomy and a restricted retromolar space to allow suctioning.…”

Section: Male 78%mentioning

confidence: 97%

<p>Submental Intubations in Panfacial Fractures</p>

Mishra¹,

Yadav²,

Tripathi³

et al. 2020

CCIDE

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Introduction: Airway management in patients with panfacial fracture remains a challenge to anesthesiologists and surgeons. Submental intubation is an effective and less invasive alternative to tracheostomy during intraoperative airway management where orotracheal and nasotracheal intubation are not appropriate options. In addition, submental intubation allows proper access to oronasal airways and occlusion during intraoperative management. Methods: The descriptive retrospective study was carried out and evaluated the outcomes of submental intubation in the management of panfacial fracture, complex maxillary or mandible fracture associated with nasal bone fracture and naso-orbito-ethmoid (NOE) fracture. The medical records of 23 patients who received submental endotracheal intubation were reviewed at UCMS College of Dental Surgery, Bhairahawa, Rupandehi, Nepal from March 2014 to December 2018. The following parameters were evaluated: mode of trauma, time required for intubation, accidental extubation, accidental perforation of the pilot balloon during its insertion, period of hospital stay, post-operative complications, such as the healing of submental scars both intraorally and extraorally. Results: The submental intubation was successfully done in all patients with minimal obvious post-operative complications. The mode of trauma for majority of cases of panfacial fracture who underwent submental intubation was road traffic accident (69.56%). The mean time required for intubation was 8.43 (±0.84) minutes. No accidental extubations occurred. Accidental perforation of the pilot balloon was seen in one patient (4.35%) during tube manipulation which was managed successfully by changing the tube. The healing of submental scars was uneventful intraorally and extraorally in almost every case. The mean period of hospital stay in patients with submental intubation was 7.95 (±1.49) days. Discussion: Submental intubation is an effective and safe method as it is not associated with complications of tracheostomy during management of panfacial fracture, NOE fracture and craniofacial fracture. In addition, it does not interfere with IMF during intraoperative period.

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Section: Male 78%mentioning

confidence: 97%

<p>Submental Intubations in Panfacial Fractures</p>

Mishra¹,

Yadav²,

Tripathi³

et al. 2020

CCIDE

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show abstract

“…Alteimer studied more regarding the submental intubation in the following years. (2,3,4) Bartkowski did further studies. (5) During panfacial fracture cases including skull base fractures , nasal fractures and maxillomandibular fractures the following problems may arise.…”

Section: Discussionmentioning

confidence: 99%

Lateral Submental Intubation in Panfacial Trauma Review of Five Cases

Ramalingam¹,

Ebenezer²,

Dakir³

2014

Biosci., Biotechnol. Res. Asia

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“…This ensures that a ventilation device remains in the airway at all times and avoids the problem of fixed connectors to reinforced tracheal tubes. Hernandez Altemir and Hernandez Montero (2000) performed a procedure consisting of the reinforced tube of a laryngeal mask in a supraglottic position in laryngotracheal trauma patients passing intraorally to the submental region [20]. Schutz and Hamed [21] noted damage to the ETT.…”

Section: Discussionmentioning

confidence: 99%