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

Goh, Elizabeth Zhixin; Loh, Ne Hooi Will; Loh, Joshua P.

doi:10.1016/j.bjoms.2019.10.314

Cited by 18 publications

(19 citation statements)

References 109 publications

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“…En las revisión sistemáticas de Goh y colaboradores, con 116 estudios desde 1986 a 2018, el tiempo promedio de ejecución de la ISM fue de 10 min (2-37 min) [2]. Jundt y colaboradores, con 48 estudios desde 1986 a 2011 reportan igual promedio con rango entre 4 y 30 minutos [16].…”

Section: Discussionunclassified

“…Las complicaciones mas frecuentes estan relacionadas a infección superficial (2,4%), cicatriz hipertrófica (0,8%), formación de fístula mucocutánea o mucocele (0,11%) y problemas con el tubo (daño del balón de control) (0,7%), migracion selectiva (0,4%). Incluso los problemas potenciales como sangrado (0,17%), hematoma (0,13%), deficit sentitivo motor (0,08%), hipoxemia (0,13%) u obstrucción (0,08%), se reportan en pequeña proporcion pero sin casos de gravedad [2], [17], [18]. En la presente serie, las complicaciones asociadas al tubo endotraqueal (daño del balón de control y desaturación) fueron los únicos hallazgos, sin reporte posterior de complicaciones tardías.…”

Section: Discussionunclassified

“…Intubación endotraqueal, complicaciones intraoperatorias, manejo de la vía aérea, traumatismos maxilofaciales, cirugía ortognática, traqueostomía Introducción E n 1986, Altemir-Hernandez propuso la intubación por vía submandibular (ISM) para procedimientos que requieren fijación intermaxilar, como alternativa a otras técnicas establecidas (traqueostomía, intubacion nasotraqueal) [1]. Indicada principalmente en el manejo quirúrgico de fractuas panfaciales y cirugía ortognática, procedimientos estéticos electivos, de patologias orales y de base de cráneo, siempre que no se requiera o prevea intubación prolongada (mayor a 72 h) [2].…”

Section: Palabras Claveunclassified

“…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: 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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“…The submental route for endotracheal intubation proposed by Hernández Altemir (1986) has been employed and revisited by numerous authors. Even if its primary indication is associated with the surgical treatment of trauma (Anwer et al, 2007;Banerjee et al, 2021;Hassanein, & Abdel Mabood, 2017;Kaiser et al, 2018;Martins et al, 2020;Mishra et al 2020;Puricelli, 2005), the literature shows its use expanded for cases of orthognathic surgery, tumour resections and others (Goh, Loh, & Loh, 2020;Mishra et al, 2020). The technique takes less operative time than tracheostomy (Emara et al, 2019;Faraj et al, 2013;Goh et al, 2020;Surman et al, 2021) and presents low complication rates (around 7% of cases), the most common being superficial skin infection in the region of externalisation of the tube, hypertrophic scar and damage to the endotracheal tube itself ( de Toledo, Bueno, Mesquita, & Amaral, 2013;Goh et al, 2020).…”

Section: Discussionmentioning

confidence: 99%

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

Puricelli

Ponzoni

2021

RSD

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Introduction: Submandibular tracheal intubation is a technique that can be applied in Oral and Maxillofacial Surgery and Traumatology, as well as other surgical specialties. Its main advantages are helping in the surgical manipulation of the middle facial skeleton and jaw and allowing the intraoperative control of dental occlusion. The technique is an alternative to elective tracheostomy. Objective and case report: The article presents the treatment of an adult patient, with sequelae of multiple fractures in the face due to a car accident, with endotracheal intubation using submandibular approach. Final considerations: In large surgical manipulations of the face, the submandibular approach for tracheal intubation allows a faster, facilitated anatomical access with a lower risk of damage to adjacent structures when compared to other pathways. It also guarantees excellent cervical mobility, the possibility of wide manipulation and the use of occlusion as a guide for surgical intervention.

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