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Related Experiment Videos

Submental intubation for cancrum oris: a case report.

Naveen Eipe1, Eva-Sabine Neuhoefer, Gabriele La Rosee

  • 1Department of Anaesthesia, Padhar Hospital, Padhar, Betul Dt, Madhya Pradesh, India. neipe@yahoo.com

Paediatric Anaesthesia
|October 22, 2005
PubMed
Summary
This summary is machine-generated.

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This study details anesthetic management for reconstructive surgery in a child with cancrum oris (Noma) sequelae. Submental intubation proved a successful airway technique for this pediatric case, avoiding tracheostomy.

Area of Science:

  • Anesthesiology
  • Pediatric Surgery
  • Oral and Maxillofacial Surgery

Background:

  • Cancrum oris (Noma) is a severe gangrenous disease causing extensive facial tissue destruction.
  • Reconstructive surgery is often necessary for Noma sequelae, requiring specialized anesthetic approaches.
  • Pediatric cases of Noma sequelae present unique challenges for airway management.

Observation:

  • A 12-year-old girl with significant facial defects from Noma sequelae required reconstructive surgery.
  • An Abbé flap procedure was planned, necessitating access to both oral and nasal cavities.
  • Submental orotracheal intubation was chosen as the airway management strategy over tracheostomy.

Findings:

  • The submental intubation technique was successfully employed for orotracheal access in this pediatric patient.

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  • The surgery proceeded without complications, and the patient was extubated uneventfully.
  • The submental incision healed well, leaving no significant scarring.

    • Implications:

    • Submental intubation is a viable and safe airway technique for pediatric reconstructive surgery in Noma sequelae.
    • This approach offers an alternative to tracheostomy in specific pediatric craniofacial reconstructions.
    • Further investigation into submental intubation in pediatric populations for complex facial defects is warranted.