Stoll's submandibular intubation: A safety alternative to Altemir's submental technique and traditional tracheostomy

Beeram, Ratna Kumari; Seelam, Sareen; Prasad, L Krishna

doi:10.1016/j.ajoms.2015.08.010

Cited by 4 publications

(5 citation statements)

References 30 publications

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“…La técnica inicialmente empleada para la ISM corresponde a la variación descrita por Stoll [3], [6], con uso de tubo endotraqueal reforzado en todos los casos. El tiempo empleado desde el establecimiento de la intubación orotraqueal, realización de la incisión submandibular, tunelización y paso del tubo hasta el restablecimiento de la conexión a ventilador fue entre…”

Section: Resultsunclassified

“…Mahmood propuso un abordaje medial retrogeniano, lo que cuida la relación anatómica con el nervio lingual, el conducto submandibular y sus papilas, pero tiene el inconveniente de lesionar la inserción de los músculos geniogloso y geniohioideo, así como la posibilidad de lesión del conducto de Warthon [12], [13]. Stoll y cols., propusieron el abordaje submandibular anterior, logrando una ruta más corta y con menor interferencia en la anatomía muscular excepto por el milohioideo al cual cruza [3], [6].…”

Section: Discussionunclassified

“…Además, de evitar los potenciales riesgos de la traqueostomía (sangrado complicado, infección, lesión de cuerdas vocales, estenosis traqueal, fístula traqueocutánea y necesidad de cuidados postraqueosotmía) y la intubación nasotraqueal (mayor riesgo de desviación intracraneal en compromiso de la base craneal con afectación de lámina cribosa), son infrecuentes y menores las complicaciones reportadas con esta técnica [2], [3], [4].…”

Section: Palabras Claveunclassified

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Experiencia en intubación submandibular en pacientes con fracturas panfaciales

C.¹,

J.³

2021

Rev. chil. anest.

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Objectives: To describe our experience in the implementation of the submandibular intubation technique in patients with panfacial fractures. Materials and Methods: Descriptive observational study, series of cases of patients with surgical reduction of panfacial fractures in whom the airway was secured by submandibular intubation, from July 2017 to October 2019. Results: 30 submandibular intubation procedures were recorded in 29 men and 1 woman for panfacial fractures. Fractures of the naso orbital ethmoidal complex were the most involved (83.3%, n = 25). In the execution, the average time was 7.7 minutes (5 to 10 minutes), there were only 2 cases of rupture of the pilot of the ball and desaturation, with rapid replacement without consequences. There were no early or late complications related to the surgical wound. Conclusions: The submandibular approach to secure the airway is an alternative with less technical difficulty and few complications. For his choice, the patient must be individualized. The surgical team must have clear communication and knowledge of the technique. RESUMENObjetivos: Describir nuestra experiencia en la implementación de la técnica de intubación submandibular en pacientes con fracturas panfaciales.

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Section: Resultsunclassified

Section: Discussionunclassified

Section: Palabras Claveunclassified

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Experiencia en intubación submandibular en pacientes con fracturas panfaciales

C.¹,

J.³

2021

Rev. chil. anest.

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“…Nessa técnica, é necessária a manipulação com um fórceps de McGill, o que pode danificar o cuff do tubo que está sendo transpassado (Agrawal & Kang, 2010, Valsa et al, 2012). Danos ao cuff durante a exteriorização também foram relatados (Beeram, Seelam, & Prasad, 2016).…”

Section: Relato De Casounclassified

Dificuldades da intubação submentoniana em pacientes com traumas faciais: Scoping Review

Cruz¹,

Monteiro²,

Silva³

et al. 2020

RSD

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A intubação submentoniana consiste em uma técnica de manutenção da via aérea que tem seu acesso cirúrgico situado na região submentual medial/paramedial, paralelamente à base da mandíbula. O seu principal objetivo é substituir a intubação nasotraqueal quando esta é contraindicada, surgindo como uma opção à traqueostomia, que seria o próximo passo nesses casos. Esse artigo é uma scoping review com o objetivo de descrever as evidências de forma a elucidar as dificuldades encontradas na intubação submentoniana no trauma facial. A estratégia de busca se deu nos bancos de dados SciELO, LILACS, PubMed, The Cochrane Library, Web of Science, SCOPUS, CINAHL e Academic Search Premier (via plataforma EBSCO), Biblioteca Digital de Teses e Dissertações USP, Busca Integrada USP e banco de teses CAPES, considerando elegíveis estudos primários, revisões, metanálises e/ou metassínteses, livros e guidelines, teses e dissertações, publicados em fontes indexadas ou na literatura cinzenta e nos idiomas português, inglês e espanhol. Na literatura revisada, foram encontrados 23 diferentes grupos de dificuldades relacionadas ao procedimento. Entre elas, destacam-se como as mais descritas os danos ao tubo endotraqueal e a dificuldade na passagem do tubo pela incisão submentoniana. Portanto, os estudos analisados demonstraram uma grande variedade de dificuldades relacionadas a vários aspectos intrinsecamente relacionados a realização do procedimento da intubação submentoniana.

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“…[ 3 ] Literature search has revealed three cases of intracranial intubation with two cases in panfacial fractures[ 6 7 ] and one case in a premature neonate during routine nasotracheal intubation. [ 8 ] Other intubation options include submental,[ 3 ] submandibular,[ 9 10 11 ] retromandibular, and tracheostomy. [ 12 ] All these choices have their advantages and disadvantages.…”

Section: Introductionmentioning

confidence: 99%

Experience with airway management and sequencing of repair of panfacial fractures: A single tertiary healthcare appraisal in Najran, Kingdom of Saudi Arabia - A retrospective study

Daniels

Albakry

Braimah³

et al. 2020

Ann Maxillofac Surg

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Introduction: Special cooperation is required among surgeons and anesthetists in airway management during repair of panfacial fractures, due to problems of shared airway and occlusion. Several methods have been proposed for airway management and sequencing of repair of panfacial fractures. The main objective of the current study was to share our experience in the airway management and sequencing of repair of panfacial fractures. Methods: This was a retrospective study of panfacial fractures in the Kingdom of Saudi Arabia from January 2008 to December 2018. Data collected included demographics, type of airway management, sequence of repair (as primary variables), and outcome of surgery (secondary variable), while surgeon and anesthetic expertise are confounders. Data were analyzed using IBM SPSS Statistics for Windows Version 25 (Armonk, NY, USA: IBM Corp). Results were presented as simple frequencies and descriptive statistics. Pearson Chi-square was used to compare categorical variables such as airway management and sequencing of repair with the panfacial fractures. Statistical significance was set at P ≤ 0.05. Results: Overall, 1057 patients sustained different categories of maxillofacial bone fractures with 23 females and 1034 males (M:F of 46:1). A total of 43 male patients out of 1057 patients had panfacial fractures during the study period, giving a prevalence rate of 4.1%. Only the 43 male patients with panfacial fractures were analyzed. All cases were as a result of motor vehicular accident. Six (13.9%) patients had tracheostomy while 37 (86.1%) patients had submental intubation. “Bottom-up” and “outside-in” approach was used in 33 (76.7%) patients, while “top-bottom” and “inside-out” approach was used in 10 (23.3%) patients. Discussion: Submental intubation was the major airway management of panfacial fracture, and “bottom-up” and “outside-in” approach was the main sequence of repair in our series. These approaches have been mentioned in the literature. Conclusion: From our study, victims of pan-facial fractures were found to be exclusively male with MVA as the sole etiological factor. Barring severe head injuries, which may necessitate the use of tracheostomy to sustain breathing over a longer period, submental intubation is extremely reliable as a mode of airway management during surgical treatment of panfacial fractures. The sequencing of repair of panfacial fractures can only be determined according to the case presentation rather than a predetermined one.

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Stoll's submandibular intubation: A safety alternative to Altemir's submental technique and traditional tracheostomy

Cited by 4 publications

References 30 publications

Experiencia en intubación submandibular en pacientes con fracturas panfaciales

Experiencia en intubación submandibular en pacientes con fracturas panfaciales

Dificuldades da intubação submentoniana em pacientes com traumas faciais: Scoping Review

Experience with airway management and sequencing of repair of panfacial fractures: A single tertiary healthcare appraisal in Najran, Kingdom of Saudi Arabia - A retrospective study

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