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2015, Number 3-4

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Rev Hosp Jua Mex 2015; 82 (3-4)

Derivación submental, una alternativa para el manejo de la vía aérea en pacientes con trauma facial

Licéaga-Escalera CJ, Montoya-Pérez LA, Vélez-Cruz ME, Montoya-Pérez BI
Full text How to cite this article

Language: Spanish
References: 6
Page: 169-172
PDF size: 172.21 Kb.


Key words:

Facial trauma, submental derivation, Altemir sequence, Green-Moore sequence.

ABSTRACT

Facial trauma demands immediate attention, it has particular situations which by their nature and content of important structures such as the nasal and oral cavities that relate to the airway, requires special handling. The submental derivation is an excellent option for patients with facial trauma involving these structures, who require maxillomandibular fixation, often avoiding the tracheostomy procedure, which represents increased morbidity. In this paper we describe two techniques: Altemir and Green-Moore; indications, advantages, disadvantages and complications. We present two cases obtaining proper management of the airway which allowed us to perform procedures to reduce facial fractures.


REFERENCES

  1. Vega OA, Suaza OE, Londoño GG. Intubación submandibular. Rev Col Anest 2004; 4: 290-8.

  2. Schütz P, Hamed HH. Submental intubation versus tracheostomy in maxillofacial trauma a patients. J Oral Maxillofac Surg 2008; 66: 1404-9.

  3. Jafar HF, Moustafa A, Aziz D, Ismail F, Hesham EZ, Yasir A, Firas N. Submandibular intubation; our experience in Qatar and a short review of literature. Egyptian Journal of Ear, Nose, Throat and Allied Sciences 2013; 14: 119-21.

  4. Jundt JS, Cattano D, Hagberg CA, Wilson JW. Submental intubation: a literature review. Int J Oral Maxillofac Surg 2012; 41: 46-54.

  5. Altemir HF. The Submental Route for Endotraqueal Intubation A New Technique. J Max Fac Surg 1986; 14: 64-5.

  6. Mahmood S, Lello GE. Oral Endotracheal Intubation: Median Submental (retrogenial) Approach. J Oral Maxillofac Surg 2004; 60: 473-4.




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Rev Hosp Jua Mex. 2015;82