title: Retrotuberosity versus submentosubmandibular and median submental intubation: patients with maxillofacial surgery.
abstract: OBJECTIVE
  In certain maxillofacial trauma cases, nasotracheal intubation is contraindicated and the standard method of orotracheal intubation interferes with maxillomandibular fixation. In such cases alternative techniques, such as submental, submentosubmandibular, and retromolar intubation have been used.
  
  
  METHODS
  We reviewed 8 patients who underwent median submental intubation, 7 patients who underwent submentosubmandibular intubation, and 10 patients who underwent a retromolar intubation with an armored endotracheal tube secured in place with a circumdental wire. The tube was positioned in the retromolar region behind the most posterior maxillary tooth.
  
  
  RESULTS
  In the group of patients who underwent median submental intubation, 1 presented difficulty in performing a median submental intubation. No complications were recorded in the rest of the patients.
  
  
  CONCLUSIONS
  Submental and submentosubmandibular intubation are useful methods with low morbidity. However, both are invasive techniques compared with retrotuberosity intubation secured in place with a circumdental wire placed around the most posterior maxillary tooth.
authors: Oral and Maxillofacial Surgery Department, Aristotle University of Thessaloniki, Thessaloniki, Greece.
authors: Nicolas
authors: N
authors: Lazaridis
authors: Lambros
authors: L
authors: Zouloumis
authors: Ioannis
authors: I
authors: Tilaveridis
authors: Maria
authors: M
authors: Lazaridou
authors: Konstantinos
authors: K
authors: Antoniades
authors: Ioaanis
authors: I
authors: Dimitrakopoulos
mesh_terms: D000293:Adolescent; D000328:Adult; D000075202:Contraindications; D005260:Female; D006801:Humans; D007440:Intubation / Q000379:methods*; D007442:Intubation, Intratracheal; D008297:Male; D008446:Maxillofacial Injuries / Q000601:surgery*; D012189:Retrospective Studies; D013515:Surgery, Oral / Q000379:methods*