title: Combitube SA through submental route. A technical innovation.
abstract: Both endotracheal intubation and the laryngeal mask are already established and have their specific applications. The Combitube SA applied submentally is useful for patients with serious craniomaxillomandibular fractures, particularly those which disturb the occlusion and cause serious haemorrhage with attendant difficulties for intubation. Combitube SA used via the submental route will facilitate fracture reduction and temporary maintenance of fractures, so that bleeding, pain and airway problems may be managed more easily until alternative intubation has been achieved.
authors.affiliation: Department of Oral and Maxillofacial Surgery, Miguel Servet University Hospital, Zaragoza, Spain. drhernandezaltemir@yahoo.es
authors.forename: Francisco
authors.initials: F
authors.lastname: Hernández Altemir
authors.forename: Sofía
authors.initials: S
authors.lastname: Hernández Montero
authors.forename: Manuel
authors.initials: M
authors.lastname: Moros Peña
mesh_terms: D002404:Catheterization / Q000295:instrumentation; D002574:Cervical Vertebrae / Q000293:injuries; D004947:Esophagus; D006470:Hemorrhage / Q000517:prevention & control; D006801:Humans; D007440:Intubation / Q000295:instrumentation*; D007442:Intubation, Intratracheal / Q000295:instrumentation*; D008297:Male; D008337:Mandibular Fractures / Q000601:surgery; D010146:Pain / Q000517:prevention & control; D012887:Skull Fractures / Q000601:surgery; D016103:Spinal Fractures / Q000601:surgery