Tenopala VS, Sánchez TMT

Language: Spanish
References: 12
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ABSTRACT

Objetive: The airway management during midfacial trauma is sometimes restricted by anatomical and functional disruptions which involves it in the surgical fixation. Aim of the study: This study was designed to avoid the tracheostomy performance in patients with midfacial trauma. Material and methods: We studied ten patients who underwent facial and elective surgery and needed airway management and dental occlusion to line up the bone fragments. We performed a submental approach to access the airway. Results: All patients had a successful airway management without injuries in mouth’s mucose and submandibular zone. One patient had an infection located on the submental incision who was treated with antibiotics. Another patient had an oral fistula to the submandibular zone, but it resolved with surgical treatment. Discussion: Patients with facial trauma need maxillomandibular immobilization during surgical fixation. Tracheostomy requires a bigger dissection and manipulation. The orotracheal intubation with a submental approach did not show complications, also, it avoids important nasal structures, a cranial intubation, an let the surgeon free access to bone fragments, allowing the anesthesiologist an acceptable airway management. Conclusions: The submental approach could be an efficient choice for the airway management in patients with midfacial trauma.

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