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Modified Submental Intubation in Panfacial Bone Fracture Patients  

Choi, Sang-Mun (Department of Plastic & Reconstructive Surgery, College of Medicine, Chungnam National University)
Song, Seung-Han (Department of Plastic & Reconstructive Surgery, College of Medicine, Chungnam National University)
Kang, Nak-Heon (Department of Plastic & Reconstructive Surgery, College of Medicine, Chungnam National University)
Publication Information
Archives of Plastic Surgery / v.38, no.1, 2011 , pp. 127-129 More about this Journal
Abstract
Purpose: Nasotracheal or oral intubation procedure is widely used for facial bone fractures. However, during the operation intubated tube can interfere or obstruct the view of the operator. We authors used a modified submental intubation method in panfacial bone fracture patients for intact airway and the operation view. Methods: After intravenous induction of anaesthesia, traditional orotracheal tubation was done. A horizontal incision was made 2 cm from the midline, 2 cm medial to and parallel with the mandible in the submental region. 1 In order to approach to the floor of the oral cavity, a haemostat was pushed through the soft tissues. A chest tube front cover was applied to the intubation tube and the tube was inserted through the submental tunnel. Orotracheal tube was disconnected and pulled back through the soft tissue and secured with a suture. Results: The procedure took about 30 minutes and there were no problems during the intubation. Intraoral manipulation and occlusal checks were free without any interference. Extubation was also easily done without any complications such as lung aspiration, infection, hematoma, or fistula. Conclusion: Submental endotracheal intubation is fast, safe, easy to use and free from the concern about the tube being pull back again. Conventional submental intubations are being held without any coverage of the tip. We authors applied the modified method to the trauma patients and obtained satisfactory results. From the above advantages, modified submental intubation can be widely available not only in fractured patients, but also in aesthetic or orthognathic surgeries.
Keywords
Submental endotracheal intubation; Panfacial bone fractures;
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Times Cited By KSCI : 1  (Citation Analysis)
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1 MacInnis E, Baig M: A modified submental approach for oral endotracheal intubation. Int J Oral Maxillofac Surg 28: 344, 1999   DOI   ScienceOn
2 Nyarady Z, Sari F, Olasz L, Nyarady J: Submental endotracheal intubation in concurrent orthognathic surgery: a technical note. J Craniomaxillofac Surg 34: 362, 2006   DOI   ScienceOn
3 Kim KJ, Lee JS, Kim HJ, Ha JY, Park H, Han DW: Submental intubation with reinforced tube for intubating laryngeal mask airway. Yonsei Med J 46: 571, 2005   DOI   ScienceOn
4 Caubi AF, Vasconcelos BC, Vasconcellos RJ, de Morais HH, Rocha NS: Submental intubation in oral maxillofacial surgery: review of the literature and analysis of 13 cases. Med Oral Patol Oral Cir Bucal 13: E197, 2008
5 Chandu A, Witherow H, Stewart A: Submental intubation in orthognathic surgery: initial experience. Br J Oral Maxillofac Surg 46: 561, 2008   DOI   ScienceOn
6 Altemir FH, Montero SH, Pena MM: About submental intubation. Anaesthesia 58: 496, 2003   DOI   ScienceOn