RT Journal Article
SR Electronic
T1 A modified method of submental oroendotracheal intubation
JF Saudi Medical Journal
JO Saudi Med J
FD Prince Sultan Military Medical City
SP 73
OP 76
VO 23
IS 1
A1 Alagumba L. Nwoku
A1 Saeed A. Al-Balawi
A1 Saeed A. Al-Zahrani
YR 2002
UL http://smj.org.sa/content/23/1/73.abstract
AB OBJECTIVE: The aim of this paper is to present a modification of submental intubation in the management of airway.METHODS: Following usual oroendotracheal intubation, the tube and cuff are exteriorized through a laterosubmental incision, and connected to the anesthetic machine.RESULTS: Ten patients comprising 8 panfacial fractures and 2 orthognathic surgical cases have successfully been managed with this approach. There were no complications, no morbidity, and the scar was inconspicuous and esthetically pleasing.CONCLUSION: The laterosubmental intubation technique is simple, efficacious in the management of severe maxillofacial injuries, orthognathic surgical cases with nasal obstruction and in plastic surgery for concomitant approach to rhytidectomy, lip correction and rhinoplasty. This approach deserves to be widely propagated among specialists working on the face.