[Submental intubation: surgical and anesthesiological aspects].
In patients with cranio-maxillofacial trauma and in corrections of cranio-facial anomalies submental intubation may be used during surgery and postoperatively. In the period June 2001-May 2002 submental intubation was performed on five patients with cranio-maxillofacial trauma and on two patients with cranio-facial anomalies (Dubowitz syndrome (LeFort II osteotomy and distraction) in one patient and cheilognathopalatoschisis (Le Fort I osteotomy and distraction) in the other). In accordance with the literature the submental intubation technique was a useful, fast and safe technique which provides a secure airway during surgery. No postoperative intubation-related complications were seen in the group of patients. It provides the surgeon with an excellent view of the operation field and permits optimal intra-operative control of the dental occlusion. Combined procedures by the surgeon and the anaesthetist must be planned beforehand.
Koudstaal
M J
MJ
Afd. Mondziekten, Kaakchirurgie en Bijzondere Tandheelkunde, Erasmus Medisch Centrum, Dr. Molewaterplein 40, 3015 GD Rotterdam. mjkoudstaal@hotmail.com
van der Wal
K G H
KG
Mallios
C
C
Rupreht
J
J
D019465:Craniofacial Abnormalities / Q000601:surgery*; D005147:Facial Bones / Q000293:injuries / Q000601:surgery; D005151:Facial Injuries / Q000601:surgery*; D006801:Humans; D007440:Intubation / Q000379:methods*; D008437:Maxilla / Q000601:surgery*; D008440:Maxillary Fractures / Q000601:surgery*; D019857:Osteogenesis, Distraction; D019340:Osteotomy, Le Fort; D012887:Skull Fractures / Q000601:surgery