Novel alternative for submental intubation - A case report -

Abstract

Background: Submental intubation is commonly used during general anesthesia for maxillofacial surgeries as it provides a safe unrestricted surgical access compared to tracheostomy. During submental intubation, soft tissues and blood clots can become lodged in the endotracheal tube. To overcome this problem, we used a laparoscopic trocar.Case: A 52-year-old man with maxillofacial injury was scheduled to undergo an open reduction and internal fixation. We performed submental intubation using laparoscopic trocar, which created sufficient space for the insertion of the endotracheal tube. Unlike conventional methods, our method did not require any blunt dissection and caused significantly less soft tissue damage and required significantly less time.Conclusions: Submental intubation with laparoscopic trocar is a one-step method and is quick and easy-to-perform technique with less complications.

Modified submental intubation techniques for maxillofacial surgery - A report of five cases -

“…In the several reported endotracheal intubation methods [6][7][8][9][10], a wire-reinforced endotracheal tube was used to prevent obstruction due to bending or damage of the endotracheal tube, which we used in all trials. Also, to prevent ob-struction caused by the entry of foreign substances into the tube and complications due to route incision, we utilized various methods of submental intubation.…”

“…Submental intubation is much simpler, more convenient, and presents with a lower incidence of complications than tracheotomy [5]. Since Altemir first proposed the submental intubation method, several modified methods have been reported [6][7][8][9][10].…”

Manejo de la vía aérea mediante intubación submental en fracturas maxilofaciales

“…A pesar de realizarse la intubación submental con un tiempo de operación promedio de principio a fin de 9.9 minutos, exige habilidad y destreza quirúrgica 12,13,14 .…”

Submandibular approach for orotracheal intubation in Oral and Maxillofacial Surgery and Traumatology

“…Orotracheal intubation techniques with a submental or submandibular approach represent a low-risk alternative to avoid Research, Society and Development, v. 10, n. 12, e49101220158, 2021 (CC BY 4.0) | ISSN 2525-3409 | DOI: http://dx.doi.org/10.33448/rsd-v10i12.20158 elective tracheostomy (Anwer et al, 2007;Banerjee et al, 2021;Emara et al, 2019;Grando & Puricelli, 1997;Grando & Puricelli, 2004;Grando & Puricelli, 2018;Hassanein, & Abdel Mabood, 2017;Jung et al 2020;Katsnelson et al, 1994;Lim, Parumo & Shanmuhasuntharam, 2018;Martins, Castro, Ferraz, & Simões, 2020;Mishra et al, 2020;Puricelli, 2003;Puricelli, 2005;Ramaraj et al, 2019;Stoll et al, 1994;Surman, Duffy, Anwar, Basyuni, & Santhanam, 2021;Jun et al, 2020). It is also noteworthy that these alternatives require a shorter operative time than elective tracheostomy (Emara et al 2019).…”

“…Different devices have been suggested, especially to facilitate the externalisation of the orotracheal tube, making the technique faster and easier and reducing the risk of complications. Among the proposals are the use of laparoscopic trocar (Jung et al, 2020), sterile camera cable drape (Yun et al, 2020) and a kit for transposition of the orotracheal tube composed of a conical punch device, coupled cylinder pliers and tongue retractor and drilling guide (Silveira, Costa & Amaral, 2020).…”