Submental intubation in maxillofacial surgery: a prospective study

Area of Science:

• Anesthesiology
• Oral and Maxillofacial Surgery
• Surgical Airway Management

Background:

• Submental intubation is an alternative airway management technique.
• Its efficacy and indications in maxillofacial surgery require further evaluation.

Purpose of the Study:

• To evaluate the efficacy, indications, and utilization of submental intubation.
• To assess its safety and effectiveness in complex maxillofacial surgeries.

Main Methods:

• Prospective study of 23 patients undergoing submental intubation for maxillofacial surgery (May 2008-August 2010).
• Evaluation of intubation/extubation times, complications, and surgical outcomes.
• Technique modification to prevent pilot cuff damage.

Main Results:

• Successful airway management in all patients with no significant difference in intubation/extubation times.
• One complication (pilot cuff rupture) managed effectively.
• Skull base access surgery identified as a new indication.

Conclusions:

• Submental intubation is a simple, secure, and effective procedure for airway control in major maxillofacial surgeries.
• It serves as a viable alternative to blind nasal intubation or tracheostomy.
• Skull base access surgery is a safe and potential indication for this technique.