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Case Studies | Anaesthesiology | India | Volume 12 Issue 8, August 2023
Submental Intubation: A Valuable Technique for Airway Management in Complex Head and Maxillofacial Trauma: A Case Report
Sandip Kapadiya | Bharat Rathva | Dhara Shukla
Abstract: Patients with complex head and maxillofacial trauma present with unique challenges to the anesthesiologist. Provision and maintenance of a secured airway control throughout the surgery is of prime importance. it is always needed to explore the better available options for airway management according to the individual needs of patients and surgery. Submental intubation (smi) is one such technique that can be very useful. Submental intubation is an interesting alternative to tracheostomy, especially when short - term postoperative control of airway is desirable with the presence of undisturbed access to oral as well as nasal airways and a good dental occlusion. There were no perioperative complications related to the submental intubation. Submental intubation is a simple technique associated with low rates of morbidity. it is an attractive alternative to tracheotomy in the surgical management of selected cases of panfacial trauma. We report an interesting case of leforte type 3 injury for open reduction and internal fixation with plating, for which we opted for submetal intubation as an airway management.
Keywords: submental intubation, maxillofacial, fractures, tracheostomy, airway
Edition: Volume 12 Issue 8, August 2023,
Pages: 1205 - 1207