Submental Intubation.

Area of Science:

• Oral and Maxillofacial Surgery
• Trauma Management
• Airway Management

Background:

• Securing a patent airway is critical in managing maxillofacial trauma.
• Tracheostomy is a common but invasive method for airway management.
• Submental intubation presents a viable alternative to tracheostomy in specific scenarios.

Purpose of the Study:

• To describe a refined technique for submental intubation.
• To highlight submental intubation as an alternative to tracheostomy for maxillofacial trauma.
• To detail the necessary equipment and approach for successful submental intubation.

Main Methods:

• Utilizing a midline submental approach for airway access.
• Employing an armored endotracheal tube to prevent kinking.
• Facilitating passage with wound dilators from a percutaneous tracheostomy set.

Main Results:

• The described method allows for secure airway acquisition in maxillofacial trauma.
• Submental intubation provides an alternative to tracheostomy, potentially reducing complications.
• The technique emphasizes specific equipment and a precise surgical approach.

Conclusions:

• Submental intubation is an effective and safe alternative airway management strategy for maxillofacial trauma.
• A midline approach and appropriate equipment are key to successful submental intubation.
• This technique should be considered in the operative management of maxillofacial injuries.