Airway management using transmylohyoid oroendotracheal (submental) intubation in maxillofacial trauma.
Successful management of airway in complex maxillofacial injuries is quite challenging. The complications and the post-operative care associated with tracheotomy makes it an unpopular choice for airway management meant solely for surgery in these patients. A retrospective analysis of 12 patients from June 2008 to December 2011, seeking treatment for pan facial fractures who underwent transmylohyoid oroendotracheal (submental) intubation is discussed here. The stepwise procedure is explained along with problems of intubation in pan facial fractures. The advantages, disadvantages and complications of transmylohyoid intubation are discussed and compared with alternative methods of air way management in such cases. This reliable, safe and easy method of airway management gives sterile surgical field without a change of tube.
Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Jamia Millia Islamia, New Delhi, India.
Imran
I
Khan
Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Jamia Millia Islamia, New Delhi, India.
Deborah
D
Sybil
Department of Dental Surgery, Sir Gangaram Hospital, New Delhi, India.
Anurag
A
Singh
Department of Anesthesia, Sarvodaya Hospital, Ghaziabad, Uttar Pradesh, India.
Tarun
T
Aggarwal
Department of Orthopaedics, Santosh Medical College and Hospital, Ghaziabad, Uttar Pradesh, India.
Rizwan
R
Khan
Airway; submental intubation; transmylohyoid oroendotracheal intubation