submental approach for tracheal intubation - an alternative to short-term tracheostomy in patients with panfacial fractures: a case report
نویسندگان
چکیده
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 open reduction and internal fixation of the fractures, frontal sinus fracture elevation and basal repair which required access to scalp, mouth and the nose. as all the conventional modalities to secure airway seemed unsuitable, orotracheal intubation was done via submental route. following intravenous induction the patient was intubated with a cuffed oral flexometallic tracheal tube. this was then modified to the submental route through a submental incision. the surgery proceeded uneventfully and the patient was extubated a day later in the icu. he made a satisfactory recovery and the submental scar healed without complication or scarring. we briefly review the technique of submental intubation in adults which serves as an excellent alternative to tracheostomy.
منابع مشابه
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...
متن کاملSubmental 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...
متن کاملSubmental 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...
متن کاملSubmental intubation: An alternative to tracheostomy when nasoendotracheal intubation is unsuccessful - A case report.
Submental intubation (SI) has been proposed as an alternative to nasoendotracheal intubation when oral endotracheal intubation is contraindicated. In patients who require intubation for maxillofacial reconstruction, this is an alternative to a traditional tracheostomy. The present case report presents an 18-year-old woman who suffered a comminuted mandibular fracture. Two days after her acciden...
متن کاملFacial fractures and submental tracheal intubation.
Submental tracheal intubation is a simple, quick and effective alternative to oral and nasal tracheal intubation or tracheostomy in the surgical management of selected patients with craniomaxillofacial injuries. It has a low morbidity and it does not impede the surgical field, allowing for temporary maxillo-mandibular fixation (jaw wiring) intra-operatively, and nasal assessment, manipulation a...
متن کاملSubmental intubation: alternative short-term airway management in maxillofacial trauma
OBJECTIVES To assess submental route intubation as an alternative technique to a tracheostomy in the management of the airway in cranio-maxillofacial trauma, along with an assessment of its morbidity and complications. MATERIALS AND METHODS Submental intubation was performed in 17 patients who had maxillofacial panfacial trauma and management was done under general anesthesia during a period ...
متن کاملمنابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
archives of anesthesiology and critical careجلد ۲۰۱۶، شماره ۰۵، صفحات ۰-۰
میزبانی شده توسط پلتفرم ابری doprax.com
copyright © 2015-2023