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2025, Number 4

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Rev Mex Anest 2025; 48 (4)

Submental intubation: alternative approach in Le Fort III fracture with intermaxillary fixation. Case report

Pola-Méndez MN, Álvarez-Aguilar EA, Vázquez-Moreno R, González-Santos V

Language: Spanish
References: 13
Page: 266-269
PDF size: 975.30 Kb.


ABSTRACT

Introduction: submental intubation is considered an alternative approach that is fast and safe in surgical procedures when the patient presents contraindication to perform a nasotracheal intubation and when orotracheal intubation cannot be performed due to the presence of intermaxillary fixation. Case report: clinical case of a patient who presented motorcycle accident and fracture le fort III is exposed, so it merited submental intubation for surgical treatment. Conclusion: submental intubation is considered an easily accessible technique for procedures in which airway problems such as fractures of the facial massif being an alternative with airway management, maxillofacial surgery, Le Fort III fracture.


REFERENCES

  1. Raposo A, Preisler G, Salinas F, Muñoz C, Monsalvesc MJ. Epidemiología de las fracturas maxilofaciales tratadas quirúrgicamente en Valdivia, Chile: 5 años de revisión. Rev Esp Cir Oral Max. 2013;35:18-22. doi: 10.1016/j.maxilo.2012.08.002.

  2. Arslan ED, Solakoglu AG, Komut E, Kavalci C, Yilmaz F, Karakilic E, et al. Assessment of maxillofacial trauma in emergency department. World J Emerg Surg. 2014;9:13. doi: 10.1186/ 1749-7922-9-13.

  3. Flores J, Martínez L, Arias J, Peña S. Manejo de la vía aérea mediante intubación submental en fracturas maxilofaciales. Alerta. 2021;4:103-108.

  4. Kar C, Mukherjee S. Submental intubation: an alternative and cost-effective technique for complex maxillofacial surgeries. J Maxillofac Oral Surg. 2010;9:266-269.

  5. Navas AMC, Díaz YFR. Intubación submentoniana: una alternativa útil para cirugía ortognática en pacientes con malformaciones craneofaciales. Informe de caso. Rev Colomb Anestesiol. 2017;45:50-54. doi: 10.1016/j.rca.2016.07.001.

  6. Hernández Altemir F. The submental route for endotracheal intubation. A new technique. J Maxillofac Surg. 1986;14:64-65.

  7. Lima SM Jr, Asprino L, Moreira RW, de Moraes M. A retrospective analysis of submental intubation in maxillofacial trauma patients. J Oral Maxillofac Surg. 2011;69:2001-2005.

  8. Rungta N. Technique of retromolar and submental intubation in facio-maxillary trauma patients. Indian J Trauma Anaesth Crit Care. 2007;8:573-575.

  9. Gordon NC, Tolstunov L. Submental approach to oroendotracheal intubation in patients with midfacial fractures. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1995;79:269-272.

  10. Bernard AC, Kenady DE. Conventional surgical tracheostomy as the preferred method of airway management. J Oral Maxillofac Surg. 1999;57:310-315.

  11. González-Magaña F, Malagón-Hidalgo HO, García-Cano E, Vilchis-López R, Fentanes-Vera A, et al. Airway management through submental derivation: a safe and easily reproduced alternative for patients with complex facial trauma. J Korean Assoc Oral Maxillofac Surg. 2018;44:12-17.

  12. Mittal G, Mittal RK, Katyal S, Uppal S, Mittal V. Airway management in maxillofacial trauma: do we really need tracheostomy/submental intubation. J Clin Diagn Res. 2014;8:77-79. doi: 10.7860/JCDR/2014/7861.4112.

  13. Jacob DD, Tuncer FB, Kashan DL, Gurunluoglu R. Clinical anatomy of submental intubation: a review of the indications, technique, and a modified approach. Ann Plast Surg. 2020;84:232-237.




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