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Retromolar intubation
J L Martinez-Lage1, J M Eslava, A I Cebrecos
1Department of Craniomaxillofacial Surgery, Ramón y Cajal University Hospital, Madrid, Spain.
Summary
Retromolar intubation is a simple technique that offers advantages in various surgeries without increasing complications. It allows for nasal pyramid procedures and maintains normal dental occlusion.
Area of Science:
- Oral and Maxillofacial Surgery
- Anesthesiology
Background:
- Traditional intubation methods can pose challenges in specific surgical scenarios.
- Maintaining dental occlusion is crucial in craniofacial and orthognathic procedures.
Purpose of the Study:
- To evaluate a simple retromolar intubation technique.
- To assess its advantages in craniofacial, orthognathic, oncologic, and trauma surgery.
- To determine its impact on dental occlusion and surgical outcomes.
Main Methods:
- Retromolar intubation was performed on 39 subjects undergoing various surgical procedures.
- Surgical and anesthetic complications associated with the technique were analyzed.
- Comparison with classic intubation methods was considered.
Main Results:
- The retromolar intubation technique did not significantly increase complications or surgical time compared to classic methods.
- The technique allows for procedures on the nasal pyramid.
- Intraoperative assessment of the surgical profile is facilitated.
- Establishment and maintenance of normal occlusion are possible.
- Retromolar bone grafting can be performed if needed.
Conclusions:
- Retromolar intubation is a safe and effective technique for specific surgical procedures.
- It offers advantages in craniofacial, orthognathic, oncologic, and trauma surgery.
- The technique preserves dental occlusion and facilitates surgical access and assessment.