» Articles » PMID: 25937722

Airway Management Using Transmylohyoid Oroendotracheal (submental) Intubation in Maxillofacial Trauma

Overview
Date 2015 May 5
PMID 25937722
Citations 2
Authors
Affiliations
Soon will be listed here.
Abstract

Successful management of airway in complex maxillofacial injuries is quite challenging. The complications and the post-operative care associated with tracheotomy makes it an unpopular choice for airway management meant solely for surgery in these patients. A retrospective analysis of 12 patients from June 2008 to December 2011, seeking treatment for pan facial fractures who underwent transmylohyoid oroendotracheal (submental) intubation is discussed here. The stepwise procedure is explained along with problems of intubation in pan facial fractures. The advantages, disadvantages and complications of transmylohyoid intubation are discussed and compared with alternative methods of air way management in such cases. This reliable, safe and easy method of airway management gives sterile surgical field without a change of tube.

Citing Articles

Submental Intubation in Maxillofacial Procedures: A More Desired Approach Than Nasotracheal Intubation and Tracheostomy.

Williams K, Tariq M, Acharekar M, Guerrero Saldivia S, Unnikrishnan S, Chavarria Y Cureus. 2022; 14(7):e27475.

PMID: 36060344 PMC: 9421558. DOI: 10.7759/cureus.27475.


Submental intubation in paediatric oral and maxillofacial surgery: Review of the literature and report of four cases.

Taiwo O, Ibikunle A, Braimah R, Suleiman M Afr J Paediatr Surg. 2015; 12(4):296-300.

PMID: 26712300 PMC: 4955467. DOI: 10.4103/0189-6725.172584.

References
1.
Eslava J, Cebrecos A, Marcos O . Retromolar intubation. J Oral Maxillofac Surg. 1998; 56(3):302-5; discussion 305-6. DOI: 10.1016/s0278-2391(98)90103-3. View

2.
Gadre K, Kushte D . Transmylohyoid oroendotracheal intubation: a novel method. J Craniofac Surg. 1992; 3(1):39-40. DOI: 10.1097/00001665-199207000-00014. View

3.
Gadre K, Waknis P . Transmylohyoid/Submental intubation: review, analysis, and refinements. J Craniofac Surg. 2010; 21(2):516-9. DOI: 10.1097/SCS.0b013e3181d023d3. View

4.
Hernandez Altemir F . The submental route for endotracheal intubation. A new technique. J Maxillofac Surg. 1986; 14(1):64-5. DOI: 10.1016/s0301-0503(86)80261-2. View

5.
Goldenberg D, Golz A, Netzer A, Joachims H . Tracheotomy: changing indications and a review of 1,130 cases. J Otolaryngol. 2002; 31(4):211-5. DOI: 10.2310/7070.2002.21091. View