A modified method of submental oroendotracheal intubation

Authors

• Alagumba L. Nwoku, Division of Oral & Maxillofacial Surgery, Department of Dentistry, Riyadh, Armed Forces Hospital, PO Box 7897, Riyadh 11159, Kingdom of Saudi Arabia. Tel. +966 (1) 4777714 ext 4330. Fax +966 (1) 4777714 ext. 2282. E-mail: anwoku{at}hotmail.com
• Saeed A. Al-Balawi, Department of Dentistry, Division of Oral and Maxillofacial Sugery, Riyadh Armed Forces Hospital, PO Box 7897, Riyadh 11159, Kingdom of Saudi Arabia.
• Saeed A. Al-Zahrani, Department of Dentistry, Division of Oral and Maxillofacial Sugery, Riyadh Armed Forces Hospital, PO Box 7897, Riyadh 11159, Kingdom of Saudi Arabia.

Abstract

OBJECTIVE: The aim of this paper is to present a modification of submental intubation in the management of airway. METHODS: Following usual oroendotracheal intubation, the tube and cuff are exteriorized through a laterosubmental incision, and connected to the anesthetic machine. RESULTS: Ten patients comprising 8 panfacial fractures and 2 orthognathic surgical cases have successfully been managed with this approach. There were no complications, no morbidity, and the scar was inconspicuous and esthetically pleasing. CONCLUSION: The laterosubmental intubation technique is simple, efficacious in the management of severe maxillofacial injuries, orthognathic surgical cases with nasal obstruction and in plastic surgery for concomitant approach to rhytidectomy, lip correction and rhinoplasty. This approach deserves to be widely propagated among specialists working on the face.

Article Type

Research Article

First Page

73

Last Page

76

Recommended Citation

Nwoku, Alagumba L.; Al-Balawi, Saeed A.; and Al-Zahrani, Saeed A. (2002) "A modified method of submental oroendotracheal intubation," Saudi Medical Journal: Vol. 23: Iss. 1, Article 14.
DOI: https://doi.org/10.15537/1658-3175.1593