Submental intubation using laparoscopic trocar in zygomaticomaxillary complex fracture surgery in Korea: a case report

Submental intubation is an effective alternative technique for airway management in patients with maxillofacial trauma. Compared tracheostomy, it less invasive, but has risks associated potential compromise such as hypoxia due to tube obstruction, collapse, and kinking. To shorten procedure time ensure a reinforced lumen, we used laparoscopic trocar new device submental intubation. A 54-year-old male patient sustained zygomaticomaxillary complex fracture was scheduled undergo open reduction internal fixation. We performed intraoral made small 1-cm incision at the submandibular midline. After dissection of tissue from site, passed using 12-mm trocar. The took about 5 minutes, apnea disconnecting breathing circuit passing through lumen until reconnected ventilator 1 minute seconds. Using can reduce required dissection, prevent luminal occlusion complications soft tissues or blood clots endotracheal tube, decrease damage.