A modified method of submental oroendotracheal intubation.
OBJECTIVE
The aim of this paper is to present a modification of submental intubation in the management of airway.


METHODS
Following usual oroendotracheal intubation, the tube and cuff are exteriorized through a laterosubmental incision, and connected to the anesthetic machine.


RESULTS
Ten patients comprising 8 panfacial fractures and 2 orthognathic surgical cases have successfully been managed with this approach. There were no complications, no morbidity, and the scar was inconspicuous and esthetically pleasing.


CONCLUSIONS
The laterosubmental intubation technique is simple, efficacious in the management of severe maxillofacial injuries, orthognathic surgical cases with nasal obstruction and in plastic surgery for concomitant approach to rhytidectomy, lip correction and rhinoplasty. This approach deserves to be widely propagated among specialists working on the face.
Nwoku
Alagumba L
AL
Department of Dentistry, Division of Oral & Maxillofacial Surgery, Riyadh Armed Forces Hospital, PO Box 7897, Riyadh 11159, Kingdom of Saudi Arabia. anwoku@hotmail.com
Al-Balawi
Saeed A
SA
Al-Zahrani
Saeed A
SA
D000293:Adolescent; D000328:Adult; D005151:Facial Injuries / Q000175:diagnosis / Q000628:therapy*; D005260:Female; D005592:Fracture Fixation / Q000379:methods; D006801:Humans; D015601:Injury Severity Score; D007442:Intubation, Intratracheal / Q000295:instrumentation / Q000379:methods*; D008297:Male; D008440:Maxillary Fractures / Q000628:therapy; D011446:Prospective Studies; D012680:Sensitivity and Specificity