J Korean Dent Soc Anesthesiol.  2014 Dec;14(4):233-236. 10.17245/jkdsa.2014.14.4.233.

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

Affiliations
  • 1Department of Oral and Maxillofacial Surgery, School of Dentistry, Wonkwang Universtiy, Wonkwang Dental Research Center, Korea.
  • 2Department of Conservative Dentistry, School of Dentistry, Wonkwang Universtiy, Wonkwang Dental Research Center, Korea. erum@wonkwang.ac.kr

Abstract

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.

Keyword

Intermaxillary fixation; Midface fracture; Oral intubation; Submental intubation

MeSH Terms

Emergencies
Female
Fistula
Humans
Intubation*
Jaw Fractures
Pneumocephalus
Skull
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