A Variation of Submental Endotracheal Intubation: A Case Report

Area of Science:

• Anesthesiology
• Maxillofacial Surgery
• Surgical Innovation

Background:

• Submental endotracheal intubation is a technique used in maxillofacial surgery.
• Conventional methods require suturing the submental incision after extubation.
• This closure step can be complex and time-consuming.

Purpose of the Study:

• To describe a modified submental endotracheal intubation technique.
• To eliminate the need for post-extubation submental incision closure.
• To streamline the surgical process in maxillofacial procedures.

Main Methods:

• A modified approach to submental endotracheal intubation was employed.
• The orotracheal tube was retrogradely repositioned through the submental space into the oral cavity.
• The submental incision was sutured prior to patient extubation.

Main Results:

• The modified technique successfully avoided the need to suture the submental incision after extubation.
• This simplification streamlines the post-anesthesia recovery phase.
• The procedure was successfully applied following maxillofacial surgery.

Conclusions:

• A modified submental endotracheal intubation technique offers an efficient alternative.
• Eliminating post-extubation incision closure simplifies patient management.
• This approach is particularly beneficial in the context of maxillofacial surgery.