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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.

Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons
|March 13, 1998
PubMed
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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.

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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.