Related Experiment Video
Updated: Apr 20, 2026

A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation
Published on: January 17, 2011
[Patient treated with sub-mental intubation for maxillofacial trauma]
1Service chirurgie maxillo-faciale, hôpital Roger-Salengro, CHRU de Lille, avenue du Pr Émile-Laine, 59037 Lille cedex, France.
Submental intubation offers a safe and reliable alternative for airway management in maxillofacial trauma patients with complex fractures. This technique avoids tracheotomy, enabling single-stage surgical treatment for nasal and maxillary injuries.
Area of Science:
- Maxillofacial Surgery
- Trauma Management
- Airway Management
Background:
- Maxillofacial traumas are common, particularly in young individuals.
- Conventional intubation methods (naso-tracheal, orotracheal) can be challenging with combined occlusal and nasal/ethmoidal fractures.
- Tracheotomy is often considered in such complex cases.
Observation:
- A clinical case involved a patient with a maxillofacial trauma combining nasal and maxillary fractures.
- The study assessed submental intubation as an alternative to tracheotomy in this scenario.
- Submental intubation was evaluated for its safety and efficacy.
Findings:
- Submental intubation proved to be a reliable, safe, and single-stage technique.
- It successfully managed the airway in a complex maxillofacial trauma case.
- This method allowed for one-stage surgical treatment without requiring tracheotomy.
Implications:
- Submental intubation is a viable alternative to tracheotomy for complex maxillofacial fractures.
- Wider implementation of this technique could improve patient outcomes.
- It offers a less invasive approach to airway management in severe facial trauma.
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