J Korean Dent Soc Anesthesiol.  2014 Dec;14(4):227-232. 10.17245/jkdsa.2014.14.4.227.

Endotracheal Intubation Using Submandibular Approach for Maxillofacial Trauma Patients: Report of 2 Cases

• Youn GH
• Ryu SY
• Oh HK
• Park HJ
• Jung S
• Jeong S
• Kook MS

• KMID: 2344983
• DOI: http://doi.org/10.17245/jkdsa.2014.14.4.227

Abstract

The indication for submandibular intubation is the requirement for intraoperative maxillomandibular fixation (MMF) in the presence of injuries that preclude nasotracheal intubation. Thus, We reported 2 cased of endotracheal intubations via submandibular approach that is applicable in patients with skull base fractures for a reliable general anesthesia. Endotracheal intubation via submandibular approach was applied during general anesthetic procedures for open reduction in three patients with Le Fort II, III or nasoorbitoethmoid (NOE) fractures. No complications due to submandibular intubation, such as infection, postoperative scarring, nerve injury, hematoma, bleeding, or orocutaneous fistula, were observed following submandibular intubation. Endotracheal intubation via submandibular approach is effective in patients with skull base fractures. In our method, the tube connector is removed in orotracheal intubation in order to avoiding the tube removal or displacement. The advantages of this method are very simple, safe, and to provide the good operation field.

Keyword

Intubation; Skull base fracture; Submandibular

MeSH Terms

Anesthesia, General
Cicatrix
Fistula
Hematoma
Hemorrhage
Humans
Intubation
Intubation, Intratracheal*
Jaw Fixation Techniques
Methods
Skull Base