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Use of Submental Intubation in the Full-Face Makeover (Orthognathic Surgery, Facial Prosthesis Combined With
Valentino Vellone1, Silvia De Tomaso2, Tito M Marianetti3
1Department of Maxillofacial Surgery, "S. Maria" Hospital, Terni, Italy.
The Journal of Craniofacial Surgery
|August 22, 2022
Summary
Submental intubation effectively manages airways during complex Full-Face Makeover surgeries, including orthognathic surgery and rhinoplasty. This technique offers a safe and satisfactory alternative for airway management in reconstructive procedures.
Area of Science:
- Oral and Maxillofacial Surgery
- Plastic Surgery
- Anesthesiology
Background:
- Submental intubation is a critical airway management technique for complex maxillofacial trauma.
- Limited research exists on submental intubation's application in Full-Face Makeover procedures.
Purpose of the Study:
- To evaluate the efficacy and safety of submental intubation in patients undergoing Full-Face Makeover surgery.
- To explore the extension of submental intubation for combined orthognathic surgery and rhinoplasty.
Main Methods:
- A case series of 5 patients undergoing Full-Face Makeover with submental intubation.
- Procedures included Le Fort I osteotomy, bilateral sagittal split osteotomy, genioplasty, zygomatic prosthesis insertion, and open rhinoplasty.
- Surgical simulation and 3D printed splints were utilized for precise repositioning.
Main Results:
- All surgeries were completed in under 6 hours.
- Submental intubation was successfully removed in the operating room.
- Patients were discharged within 2 days post-surgery.
Conclusions:
- Submental intubation is a viable airway management strategy for Full-Face Makeover procedures.
- Its application can be extended to combined orthognathic surgery and rhinoplasty.
- Avoiding nasal intubation enhances rhinoplasty accuracy and patient satisfaction.
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