title: Evaluation of safety and usefulness of submental intubation in panfacial trauma surgery.
abstract: OBJECTIVE
  Submental intubation has been advocated as an alternative to classical tracheostomy for certain indicated panfacial trauma surgeries. Surgeons should have various options for airway management in maxillofacial trauma patients. Most maxillofacial injuries involve occlusal derangements, which might require intraoperative occlusal corrections; hence, orotracheal intubation is not ideal. Maxillofacial surgeons generally prefer nasotracheal intubation; however, in cases with concomitant skull base fracture or nasal bone fracture, nasotracheal intubation might not be suitable; in these situations, tracheostomy is typically performed. However, the possible complications of tracheostomy are well known. Due to trauma situations and to avoid the complications of tracheostomy, submental intubation would be an ideal alternative procedure in selected maxillofacial trauma surgery patients. This study aimed to evaluate the safety and usefulness of a submental intubation technique for panfacial trauma surgery. Moreover, we intended to share our experience of submental intubation and to recommend this simple, safe procedure for certain panfacial trauma surgeries.
  
  
  METHODS
  In five panfacial trauma patients, we performed submental intubation for airway management; the mean time required for the procedure was only eight minutes.
  
  
  RESULTS
  We were able to execute this procedure safely in a short time without any intraoperative or postoperative complications.
  
  
  CONCLUSIONS
  Submental intubation is a safe and simple technique for airway management in indicated panfacial trauma surgery patients.
authors.affiliation: Department of Dentistry, ESIC Medical College and Postgraduates Institute of Medical Sciences and Research (PGIMSR), Chennai, India.
authors.forename: Mohanavalli
authors.identifier: 0000-0003-2905-2966
authors.initials: M
authors.lastname: Singaram
authors.affiliation: Department of Anesthesiology, ESIC Medical College and Postgraduates Institute of Medical Sciences and Research (PGIMSR), Chennai, India.
authors.forename: Ilango
authors.identifier: 0000-0002-7218-5417
authors.initials: I
authors.lastname: Ganesan
authors.affiliation: Department of Anesthesiology, ESIC Medical College and Postgraduates Institute of Medical Sciences and Research (PGIMSR), Chennai, India.
authors.forename: Radhika
authors.identifier: 0000-0001-8937-6386
authors.initials: R
authors.lastname: Kannan
authors.affiliation: Department of Dentistry, ESIC Medical College and Postgraduates Institute of Medical Sciences and Research (PGIMSR), Chennai, India.
authors.forename: Rajesh
authors.identifier: 0000-0002-0558-5410
authors.initials: R
authors.lastname: Kumar
keywords: Intubation; Maxillofacial injuries; Panfacial trauma; Tracheostomy