Avoiding Tracheostomy: Submental Intubation in Faciomaxillary Trauma Surgery

Submental intubation in oral and maxillofacial surgery: a systematic review 1986–2018

“…Screening by title and abstract excluded 128 that were irrelevant, and a further 16 were excluded as the full texts could not be sourced. [8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23] Assessment of 146 full-text publications found 30 that were irrelevant. The remaining 116 eligible studies consisted of one randomised controlled trial that compared awake and asleep intubation (OCEBM level 3); 61 case series (21 prospective, 25 retrospective, and 15 unspecified), and 40 case reports (n = 101 at OCEBM level 4); six surgical techniques and eight letters (n = 14 at OCEBM level 5) (Table, supplemental data online only).…”

Severe craniofacial trauma after multiple pistol shots

“…Immediate airway management and bleeding control followed by coordinated multi-disciplinary treatment by the emergency physician, anesthesiologist, intensivist, radiologist, ENT surgeon, craniofacial surgeon, neurosurgeon and plastic surgeon is crucial for the successful treatment of penetrating craniofacial trauma [6,7].…”

“…Maintaining airway and oxygenation and supporting circulation are crucial in treatment of victims at the scene of crime [5], particularly when mask ventilation and supraglottic airway devices are impractical and intubation difficult [6]. Whenever ventilation fails, at least lateral positioning of the patient should be established to achieve airway patency and drainage of blood [7]. As the outcome mainly depends on airway management and severity of associated head or neurovascular injuries requiring immediate intervention, patients should be transported to a trauma center equipped to deal with craniofacial and neurosurgery [1].…”