Browse > Article

Intermaxillary Fixation under Oral Intubation in a Patient with Le Fort I Fracture: a Case Report  

Choi, Eun-Joo (Department of Oral and Maxillofacial Surgery, School of Dentistry, Wonkwang University, Wonkwang Dental Research Center)
Lee, Seok-Ryun (Department of Conservative Dentistry, School of Dentistry, Wonkwang University, Wonkwang Dental Research Center)
Publication Information
Journal of The Korean Dental Society of Anesthesiology / v.14, no.4, 2014 , pp. 233-236 More about this Journal
In order to reduce jaw fracture accompanied by basal skull or nasal fracture, submental intubation could be generally performed. Albeit submental intubation has been widely accepted, it could develop complications such as nerve injury, glandular duct injury, and orocutaneous fistula. Here, we suggest oral intubation for overcoming complications and providing more stable surgical environment in emergency case. Under oral intubation maintaining in retromolar triangle and buccal corridor space, intermaxillary fixation was successfully underwent in 38-years-old female patient with Le Fort I fracture accompanied by pneumocephalus.
Intermaxillary fixation; Midface fracture; Oral intubation; Submental intubation;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Kim SM, Kwon KJ: Submental intubation for maxillofacial surgery. Journal of The Korean Dental Society of Anesthesiology, 2004; 4: 96-9.   DOI
2 The Korean Dental Society of Anesthesiology: Dental Anesthesiology. 2nd. Seoul, Koonja. 2010, pp 536-40.
3 Altemir FH: The submental route for endotracheal intubation. A new technique. J Maxillofac Surg 1986; 14: 64-5.   DOI   ScienceOn
4 Stranc MF, Skoracki R: A complication of submandibular intubation in a panfacial fracture patient. J Craniomaxillofac Surg 2001; 29: 174-6.   DOI   ScienceOn
5 Taglialatela Scafati C, Maio G, Aliberti F, Taglialatela Scafati S, Grimaldi PL: Submento-submandibular intubation: is the subperiosteal passage essential Experience in 107 consecutive cases. Br J Oral Maxillofac Surg 2006; 44: 12-4.   DOI   ScienceOn
6 Agrawal M, Kang LS: Midline submental orotracheal intubation in maxillofacial injuries: a substitute to tracheostomy where postoperative mechanical ventilation is not required. J Anaesthesiol Clin Pharmacol 2010; 26: 498-502.
7 Gadre KS, Waknis PP: Transmylohyoid/Submental intubation: review, analysis, and refinements. J Craniofac Surg 2010; 21: 516-9.   DOI   ScienceOn
8 Korean Association of Oral and Maxillofacial Surgeons: Textbook of Oral and Maxillofacial surgery. 2nd. Seoul, Dental and Medical Publishing Co. 2005, pp 258-76.