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[Submental intubation in maxillofacial traumatology]
M El Bouihi1, A Bouaichi, S Lahmiti
1Service de chirurgie maxillofaciale et esthétique, centre hospitalier universitaire Mohammed VI, faculté de médecine et de pharmacie de Marrakech, Marrakech, Morocco. melbouihi@hotmail.com
Submental intubation is a safe and effective alternative to tracheotomy for severe facial trauma patients, offering a reliable airway solution with minimal scarring and complications.
Area of Science:
- Otorhinolaryngology
- Maxillofacial Surgery
- Anesthesiology
Context:
- Severe facial trauma presents challenges in maintaining upper airway patency.
- Tracheotomy is the standard procedure, but alternatives are sought.
- Submental intubation is an underutilized technique for airway management in these cases.
Purpose:
- To evaluate the safety and efficacy of submental intubation in patients with severe facial trauma.
- To assess operative time, complications, and aesthetic outcomes of submental intubation.
- To compare submental intubation with traditional tracheotomy in managing facial trauma airways.
Summary:
- A retrospective study of 16 severe facial trauma patients demonstrated submental intubation's feasibility.
- The average operative time was 7 minutes, with no reported speech disorders, hematomas, or infections.
- Excellent aesthetic results were observed, with minimal scarring in 13 out of 16 patients.
Impact:
- Submental intubation offers a reliable, simple, and easily learned airway management technique.
- Proper anatomical knowledge minimizes risks like hematoma.
- Minimal scarring and reduced infectious risk contribute to favorable patient outcomes.
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