Submental Endotracheal Intubation for Maxillofacial Surgery: A Report of Two Cases

##plugins.themes.academic_pro.article.main##

Adetayo MA
Oguntade FAO
Salami OF
Ogundare EA
Ademakinwa OO

Abstract

The technique of submental endotracheal intubation has been established as a safe alternative to tracheostomy and can be utilized when oro-tracheal and naso-tracheal routes of intubation are not ideal for orofacial surgical intervention. The technique is simple and avoids the complications of tracheostomy. We present 2 cases of adults with orofacial injuries requiring surgery. Both cases were managed using the submental method of intubation and the procedure was well tolerated. There were no perioperative complications and patients were discharged on the fifth postoperative day.

##plugins.themes.academic_pro.article.details##

How to Cite
MA, A., FAO, O., OF, S., EA, O., & OO, A. (2019). Submental Endotracheal Intubation for Maxillofacial Surgery: A Report of Two Cases. International Journal of Medical and Dental Sciences, 1718–1723. https://doi.org/10.18311/ijmds/2019/22086

References

  1. Green JD, Moore UJ. A Modification of submental intubation. BJA. 1996; 77:789. https://doi.org/10.1093/bja/77.6.789
  2. Taiwo OA, Ibikunle AA, Braimah RO, Suleiman MK. Submental intubation in paediatric oral and maxillofacial surgery: Review of the literature and report of four cases. Afr J Paediatr Surg. 2015; 12(4): 296–300. https://doi.org/10.4103/0189-6725.172584 PMid:26712300 PMCid: PMC4955467
  3. Biju P, Mohan A. Biomechanic of cranio-maxillofacial trauma. J Maxillofac Oral Surg. 2012; 11(2):224–230. https://doi.org/10.1007/s12663-011-0289-7 PMid:23730074 PMCid:PMC3386400
  4. Adeyemo WL, Ogunlewe MO, DesaluI, Akanmu ON, Ladeinde AL. Submental/ Transmylohyoid intubation inmaxillofacial surgery: Report of two cases. Nigerian Journal of Clinical Practice. 2011; (14)1:98–101. https://doi.org/10.4103/1119-3077.79266 PMid:21494002
  5. Altermir FH. The submental route for endotracheal intubationa new technique. Journal of Oral and Maxillo Facial Surgery. 1986; 14:64–5. https://doi.org/10.1016/S03010503(86)80261-2
  6. Stoll P, Galli C, Wachter R, Bahr W. Submandibular endotracheal intubation in panfacial fractures. Journal of Clinical Aneasthesia. 1994; 6:83–6. https://doi.org/10.1016/09528180(94)90127-9
  7. Lee SS, Huang HS, Wu SH, Sun IF, Chu KS, Lai CS, Chen YL. A review of intraoperative airway management for midface facial bone fracture patients. Ann Plast Surg. 2009; 63:162–6. https://doi.org/10.1097/SAP.0b013e3181855156 PMid:19542879
  8. Dutta A, Kumar V, Saha SS, Sood J, Khazanchi RK. Retromolar tracheal tube positioning for patients undergoing faciomaxillary surgery. Can J Anaesth. 2005; 52:341. https://doi.org/10.1007/BF03016082 PMid:15753518
  9. Taiwo AO, Ibikunle AA, Braimah RO. Airway management with submental orotracheal intubation in maxillofacial surgery: Our experience and literature review. Niger J Surg Res. 2016; 17:38–42. https://doi.org/10.4103/1595-1103.194218
  10. Caubi AF, Vasconcelos BCE, Vasconcellos RJH, Morais HHA, Rocha NS. Submental intubation in oral maxillofacial surgery: Review of the literature and analysis of 13 cases. Med Oral Patol Oral Cir Bucal. 2008; 13(3):197–200.
  11. Meyer C, Valfrey J, Kjartansdortir T, Wilk A, Barriere P. Indications for and technical refinements of submental intubation in oral and maxillofacial surgery. Journal of Cranio-Maxillofacial Surgery. 2003; 31(6):383–8. https:// doi.org/10.1016/j.jcms.2003.07.005 PMid:14637068
  12. Faraj JH, Al Khalil M, Darwish AZ, Faraj I, El Zenati H, Eltiraifi Y. Submandibular intubation. Qatar Medical Journal. 2012:.2. Available from: http://dx.doi.org/10.5339/ qmj.2012.2.21 https://doi.org/10.5339/qmj.2012.2.21
  13. Savitha KS, Kujur AR, Vikram MS, Joseph S. A modified submental orotracheal intubation. Anesth Essays Res. 2016 Jan-Apr; 10(1):132–5. https://doi.org/10.4103/02591162.165518 PMid:26957708 PMCid:PMC4767081
  14. Cipnano A, Mao ML, Hon HH, Vazquez D, Stawicki SP, Sharpe RP, Evans DC. An overview of complications associated with open and percutaneous tracheostomy procedures. Int J W Illn Inj Sc. 2015; 5(3):170–88.
  15. Caron G, Paquin R, Lessard MR, Trepanier CA, Landry PE. submental endotracheal intubation: An alternative to tracheostomy in patients with midfacial and panfacial fractures. J Trauma. 2000; 48:235–40. https://doi.org/10.1097/00005373-200002000-00007 PMid:10697080
  16. Leandro LFL, Guevara HAG, Marinho K, Rivero CS, Lopez MAL. Intubación submental: Experiencia con 30casos. Rev Esp Cir Oral Maxilofac. 2015; 37:132–7. https://doi.org/10.1016/j.maxilo.2013.12.001
  17. Helm M, Gries A, Mutzbauer T. Surgical approach in difficult airway management. best practice and research. Clinical Anaesthesiology. 2005; 19(4):623–40. PMid:16408538
  18. Drolet P, Giraid M, Poirier J, Grenier Y. Facilitating submental endotrachial intubation with an endotracheal tube exchanger. Anaesthesia and Analgesia. 2000; 90:222–3. https://doi.org/10.1097/00000539-200001000-00044
  19. Macinnis E, Baig M. A modification submental approach for oral endotracheal intubation. International Journal of Oral and Maxillofacial Surgery. 1999; 28:344–6.
  20. https://doi.org/10.1034/j.1399-0020.1999.285280506.x
  21. Chandu A, Smith ACH, Gebert R. Submental intubation an alternative to short-term tracheostomy. Anaesth, Intensive Care. 2000; 28:193–5. PMid:10788973
  22. Paetkai DJ, Stranc MF, Ong BY. Submental intubation for maxillofacial surgery. Anaesthesiology. 2000; 92:9–12.