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Submental intubation: alternative short-term airway management in maxillofacial trauma.

Kumar RR, Vyloppilli S, Sayd S, Thangavelu A, Joseph B, Ahsan A - J Korean Assoc Oral Maxillofac Surg (2016)

Bottom Line: In all 17 cases, the technique of submental intubation was found to be simple and reliable.Hypertrophic scars were noted in three cases, orocutaneous fistula and mucocele in one case each.All these complications were managed comfortably without significant morbidity to the patient.

View Article: PubMed Central - PubMed

Affiliation: Department of Oral and Maxillofacial Surgery, St. Joseph Dental College, Eluru, India.

ABSTRACT

Objectives: To assess submental route intubation as an alternative technique to a tracheostomy in the management of the airway in cranio-maxillofacial trauma, along with an assessment of its morbidity and complications.

Materials and methods: Submental intubation was performed in 17 patients who had maxillofacial panfacial trauma and management was done under general anesthesia during a period of one year from 2013 to 2014 at Departments of Oral and Maxillofacial Surgery and Dentistry, the Malankara Orthodox Syrian Church Medical College, Kochi, India.

Results: In all 17 cases, the technique of submental intubation was found to be simple and reliable. Hypertrophic scars were noted in three cases, orocutaneous fistula and mucocele in one case each. All these complications were managed comfortably without significant morbidity to the patient.

Conclusion: Submental intubation is a good technique that can be used regularly in the management of the airway in cranio-maxillofacial trauma, but with some manageable complications.

No MeSH data available.


Related in: MedlinePlus

Mucocele formation in the postoperative period on the floor of the mouth.
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Figure 7: Mucocele formation in the postoperative period on the floor of the mouth.

Mentions: In the postoperative review period, three patients developed hypertrophic scars, one patient developed orocutaneous fistula, and one patient developed mucocele.(Fig. 7) All of these complications were managed using conventional methods. There were no motor or sensory deficits recorded in any patients.


Submental intubation: alternative short-term airway management in maxillofacial trauma.

Kumar RR, Vyloppilli S, Sayd S, Thangavelu A, Joseph B, Ahsan A - J Korean Assoc Oral Maxillofac Surg (2016)

Mucocele formation in the postoperative period on the floor of the mouth.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4940200&req=5

Figure 7: Mucocele formation in the postoperative period on the floor of the mouth.
Mentions: In the postoperative review period, three patients developed hypertrophic scars, one patient developed orocutaneous fistula, and one patient developed mucocele.(Fig. 7) All of these complications were managed using conventional methods. There were no motor or sensory deficits recorded in any patients.

Bottom Line: In all 17 cases, the technique of submental intubation was found to be simple and reliable.Hypertrophic scars were noted in three cases, orocutaneous fistula and mucocele in one case each.All these complications were managed comfortably without significant morbidity to the patient.

View Article: PubMed Central - PubMed

Affiliation: Department of Oral and Maxillofacial Surgery, St. Joseph Dental College, Eluru, India.

ABSTRACT

Objectives: To assess submental route intubation as an alternative technique to a tracheostomy in the management of the airway in cranio-maxillofacial trauma, along with an assessment of its morbidity and complications.

Materials and methods: Submental intubation was performed in 17 patients who had maxillofacial panfacial trauma and management was done under general anesthesia during a period of one year from 2013 to 2014 at Departments of Oral and Maxillofacial Surgery and Dentistry, the Malankara Orthodox Syrian Church Medical College, Kochi, India.

Results: In all 17 cases, the technique of submental intubation was found to be simple and reliable. Hypertrophic scars were noted in three cases, orocutaneous fistula and mucocele in one case each. All these complications were managed comfortably without significant morbidity to the patient.

Conclusion: Submental intubation is a good technique that can be used regularly in the management of the airway in cranio-maxillofacial trauma, but with some manageable complications.

No MeSH data available.


Related in: MedlinePlus