Circummandibular or nasomaxillary suture with pullout loop for secure placement of endotracheal tube

An oral endotracheal tube is secured with a double-armed black nylon circummandibular suture. A green pullout suture is incorporated to aid in removal. A nasal endotracheal tube is placed similarly except that the posterior strand is passed from the oral surface of the palate to the nasal floor with an eyed awl.