Comparative Evaluation Between Midline Submental Intubation Technique And Lateral SubmentalIntubation Technique In Airway Management Of Severe Cranio-Maxillofacial Trauma
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Abstract
Successful outcomes of any surgical procedure are dependent upon unobstructed access. Management of patients with multiple traumas of the face or those undergoing multiple/complex facial osteotomies has always been challenging, not only to maxillofacial surgeons but also to the anesthetists, as both specialists struggle for the same anatomic territory. Hernandez in 1986 published the first article on the submental route for endotracheal intubation. He developed this technique to avoid tracheotomy particularly in maxillofacial trauma where short-term maxillomandibular fixation was required. This technique allowed intraoperative access to perform dental occlusion and reconstruction of the nasal pyramid in patients with skull base fractures. Submental endotracheal intubation is a simple technique with very low morbidity, and may be used as an alternative to tracheostomy in selected cases of maxillofacial trauma.
In this study we have compared midline submental intubation technique and lateral submental intubation technique in 30 patients of maxillofacial trauma on the basis of several parameters like bleeding, time taken to intubate, complications and scarring.
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References
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