Facial fractures and submental tracheal intubation

Summary 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 t...

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Bibliographic Details
Published inAnaesthesia Vol. 57; no. 12; pp. 1195 - 1199
Main Authors Amin, M., Dill‐Russell, P., Manisali, M., Lee, R., Sinton, I.
Format Journal Article
LanguageEnglish
Published Oxford, UK Blackwell Science Ltd 01.12.2002
Blackwell
Subjects
Adolescent
Adult
Anaesthesia: equipment; tubes tracheal
Anesthesia
Anesthesia depending on type of surgery
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Child
Chin - surgery
Facial Bones - injuries
Female
Humans
Intubation tracheal: submental; complications
Intubation, Intratracheal - adverse effects
Intubation, Intratracheal - methods
Male
Medical sciences
Middle Aged
Orthopedic surgery. Maxillofacial surgery. Otorhinolaryngologic surgery. Stomatology. Ophtalmology. Investigation and treatment technics
Retrospective Studies
Skull Fractures - surgery
Human
complications
Diseases of the osteoarticular system
General anesthesia
Fracture
Trauma
tubes tracheal. Intubation tracheal: submental
Anaesthesia: equipment
Surgery
Surgical approach
Intubation
Technique
Face
Trachea
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Summary:Summary 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 and bone grafting, either simultaneously or as an independent procedure. We report 12 cases utilizing this technique in this retrospective study, this includes 11 patients with mid‐facial fractures and associated base of skull fractures, and one patient who underwent an elective Le Fort III advancement. The techniques and indications for submental tracheal intubation are described.
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
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ISSN:0003-2409
1365-2044
DOI:10.1046/j.1365-2044.2002.02624_1.x