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Submental intubation: a literature review
J S Jundt1, D Cattano, C A Hagberg
1Department of Oral and Maxillofacial Surgery, The University of Texas Dental Branch at Houston, USA. Jonathon.Jundt@uth.tmc.edu
International Journal of Oral and Maxillofacial Surgery
|September 21, 2011
Summary
Submental intubation is a safe and effective airway management technique for craniofacial surgery, achieving a 100% success rate. This method prioritizes surgical exposure and occlusion restoration with minimal complications.
Area of Science:
- Anesthesiology
- Oral and Maxillofacial Surgery
- Otolaryngology
Background:
- Submental intubation is a specialized airway technique.
- Evidence supporting its use in craniofacial surgery requires analysis.
- A new airway algorithm for these patients is needed.
Purpose of the Study:
- To review the evidence for submental intubation.
- To inform the development of a new airway algorithm for craniofacial surgery.
Main Methods:
- Systematic literature search (PubMed, OVID, Cochrane, Google Scholar, 1984-2011).
- Analysis of outcomes, complications, indications, devices, and procedure time.
- Inclusion of 41 articles representing 842 patient cases.
Main Results:
- 100% success rate for submental intubation.
- Minor complications reported in 60 patients (e.g., skin infections, tube damage, fistula).
- Average procedure time was 9.9 minutes.
Conclusions:
- Submental intubation is a safe and effective airway management strategy.
- It is time-efficient for procedures requiring enhanced surgical exposure or occlusion restoration.
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