The submental endotracheal intubation as an alternative to tracheostomy in selected cases of the facial fracture: literature review and technique report.

Junior, Joel Motta; Kluppel, Leando Eduardo; Pereira-Stabile, Cecília Luiz; Stabile, Glaykon Alex Vitti

doi:10.5505/tjtes.2012.43403

Cited by 4 publications

(2 citation statements)

References 26 publications

(29 reference statements)

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“…39 Some factors might hinder the Hernandez technique, 21 such as retrognathism, a limited mouth opening, or large mandibular tori. 37 We agree with authors who claim that the rare complications associated with SEI may be more attributable to errors of planning, indications, and failures in performing the technique. 35 The current main indications and contraindications for SEI 14,29,37,39 are listed in Table 2.…”

Section: Discussionsupporting

confidence: 86%

“…As suggested by other studies, SEI technique provided a secure airway and an unobstructed intraoral surgical field and allowed IMF while avoiding the possible drawbacks and complications of nasotracheal intubation and tracheotomy. 3,4,28,32,37,38 A decision not to extubate in the operating room was always made by consultation between the surgeons and the anesthesiologists based on the clinical condition of the patient at the end of the surgical procedure. Patients who sustained bilateral mandibular fractures had increased soft tissue manipulation and lengthened duration of surgery, leading to formation of greater submandibular swelling during the surgical procedure.…”

Section: Discussionmentioning

confidence: 99%

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Submental Intubation in Cases of Panfacial Fractures: A Retrospective Study

Rodrigues

Melo

Almeida

et al. 2017

Anesthesia Progress

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Surgical treatment of panfacial fractures usually requires intraoperative temporary occlusion of the teeth and simultaneous access to the nasal pyramid. In such cases, the standard method of airway management is to perform a tracheostomy, but this may be associated with a significant number of perioperative and late complications. This study aimed to determine if submental endotracheal intubation (SEI) is a viable alternative to tracheostomy, especially when short-term postoperative control of the airway is foreseen. This was an observational retrospective study, carried out between 2012 and 2014, which involved 32 consecutive patients who sustained panfacial fractures and were surgically treated during a 3-year period in a level I trauma center hospital. Only those who required SEI were included in the sample. Four cases were excluded because of incomplete registries, follow-up period less than 4 months after hospital discharge, or other unrelated complications. The medical charts of all patients involved in the sample were carefully reviewed in order to qualify and quantify perioperative and postoperative complications related to anesthetic management. We hypothesized that SEI would not interfere with the surgical procedures and would present less morbidity and reduced complication rates. Twenty-eight patients, 24 male and 4 female, met all the inclusion criteria. The mean age was 29.5 ± 9.05 years (range, 18-56 years). The mean duration time of surgery was 8.07 ± 4.0 hours (range, 4-16 hours). There were no perioperative complications. Postoperatively, only 1 patient (3.57%) experienced a cutaneous infection at the submental region, which was easily treated. Additionally, only 1 case (3.57%) of hypertrophic scar was reported. SEI appears to be a safe, simple, and effective technique of immediate perioperative airway management in selected cases of panfacial fractures.

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Section: Discussionsupporting

confidence: 86%

Section: Discussionmentioning

confidence: 99%

Submental Intubation in Cases of Panfacial Fractures: A Retrospective Study

Rodrigues

Melo

Almeida

et al. 2017

Anesthesia Progress

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Injury to the Submandibular Duct and Secondary Fibrosis Causing Sialocele: An Unusual Complication of Submental Intubation

Bhatia

Gupta²,

Patro³

et al. 2022

J. Maxillofac. Oral Surg.

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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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The submental endotracheal intubation as an alternative to tracheostomy in selected cases of the facial fracture: literature review and technique report.

Cited by 4 publications

References 26 publications

Submental Intubation in Cases of Panfacial Fractures: A Retrospective Study

Submental Intubation in Cases of Panfacial Fractures: A Retrospective Study

Injury to the Submandibular Duct and Secondary Fibrosis Causing Sialocele: An Unusual Complication of Submental Intubation

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

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