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A Variation of Submental Endotracheal Intubation: A Case Report
Marco Fiore1, Mario Santagata2
1From the Department of Women, Child and General and Specialized Surgery, University of Campania "Luigi Vanvitelli," Naples, Italy.
Abstract:
Submental endotracheal intubation consists of a conventional orotracheal intubation followed by a submental incision to access the submental space. The endotracheal tube is carefully advanced through the incision in the submental space using a hemostat and secured at the submental level with sutures. After the patient is extubated, the submental incision is sutured.We used a modified approach to eliminate the need to suture the submental incision after the patient emerged from anesthesia: following maxillofacial surgery, our patient's orotracheal tube was retrogradely repositioned through the submental space into the oral cavity, and the submental incision was sutured before extubation.
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