Submandibular approach for tracheal intubation in patients with panfacial fractures

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Submandibular approach for tracheal intubation in patients with panfacial fractures.

BACKGROUND The oral route for tracheal intubation can interfere with some maxillofacial surgical procedures. At the same time, the nasal route can be contraindicated or impossible. Tracheostomy is the usual solution in these circumstances, but it carries a high incidence of complications. We tested the submandibular route for tracheal intubation as an alternative to tracheostomy in such situati...

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Submental intubation in patients with panfacial fractures: A prospective study

Submental intubation is an interesting alternative to tracheostomy, especially when short-term postoperative control of airway is desirable with the presence of undisturbed access to oral as well as nasal airways and a good dental occlusion. Submental intubation with midline incision has been used in 10 cases from October 2008 to March 2010 in the Department of Oral and Maxillofacial Surgery, M...

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submental approach for tracheal intubation - an alternative to short-term tracheostomy in patients with panfacial fractures: a case report

intubating a patient with panfacial fractures is always a challenge to the anesthesiologist as both the anesthesiologist and the surgeon are essentially competing for the same space. the anesthetic management of a 19-year-old boy who presented with multiple maxillofacial injuries, pneumocephalus, and cerebral edema sustained during a road traffic accident has been described. he was posted for o...

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Submental tracheal intubation in a case of panfacial trauma.

Airway management of panfacial fractures is complicated. Treatment of fractures of such bones presents a certain difficulty as in not only do the fracture fragments have to be aligned but the teeth have to be kept in proper occlusion as well. To achieve a proper pre-traumatic occlusion, the occlusion has to be maintained and checked at all times during the surgery. There are many options for th...

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Concomitant injuries in patients with panfacial fractures.

BACKGROUND Patients with panfacial fractures comprise a small portion of the overall facial fracture patient population. Because of the forces necessary to cause panfacial injury, these patients often have other concomitant injuries. The timing of operative facial fracture management remains controversial. METHODS A 3-year review of all patients with facial fractures was conducted at Duke Uni...

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ژورنال

عنوان ژورنال: British Journal of Anaesthesia

سال: 2007

ISSN: 0007-0912

DOI: 10.1093/bja/aem094