title: Transmylohyoid orotracheal intubation in surgical management of canine maxillofacial fractures: an alternative to pharyngotomy endotracheal intubation.
abstract: OBJECTIVE
  To describe the surgical technique of transmylohyoid orotracheal intubation in surgical management of maxillofacial fractures in dogs.
  
  
  METHODS
  Case series.
  
  
  METHODS
  Dogs (n = 4) with maxillofacial fractures.
  
  
  METHODS
  Transmylohyoid orotracheal intubation was used for airway management of dogs undergoing surgical repair of maxillofacial trauma. A stoma was surgically created by an incision through the skin, subcutaneous tissue, and mylohyoideus muscle immediately medial to the lingual cortex of the mandible at the level of the mandibular 1st molar tooth, so that an endotracheal tube could exit the oral cavity between the mandibular bodies bypassing the dentition.
  
  
  RESULTS
  Transmylohyoid orotracheal intubation allowed excellent surgical visibility of the oral cavity and intraoperative control of occlusion during surgery. No complications were encountered during the procedure and the stoma healed without complication.
  
  
  CONCLUSIONS
  Transmylohyoid orotracheal intubation is a safe, simple, and effective technique for bypassing the rostral oral cavity and dentition during surgical management of maxillofacial fractures.
authors.affiliation: Department of Surgical Sciences, School of Veterinary Medicine, University of Wisconsin-Madison, Madison, Wisconsin.
authors.forename: Jason W
authors.initials: JW
authors.lastname: Soukup
authors.forename: Christopher J
authors.initials: CJ
authors.lastname: Snyder
mesh_terms: D058109:Airway Management / Q000379:methods / Q000662:veterinary*; D000818:Animals; D004285:Dogs / Q000293:injuries* / Q000601:surgery; D005260:Female; D005592:Fracture Fixation / Q000662:veterinary; D008297:Male; D008334:Mandible; D008446:Maxillofacial Injuries / Q000601:surgery / Q000628:therapy / Q000662:veterinary*; D012887:Skull Fractures / Q000601:surgery / Q000628:therapy / Q000662:veterinary*