Journal of Oral and Maxillofacial Surgery
Volume 66, Issue 7 , Pages 1404-1409 , July 2008

Submental Intubation Versus Tracheostomy in Maxillofacial Trauma Patients

  • Petr Schütz, MD

      Affiliations

    • Consultant, Head of Oral and Maxillofacial Surgery Unit, Al-Adan Dental Center and the Oral and Maxillofacial Surgery Department; Ministry of Health, State of Kuwait.
    • Corresponding Author InformationAddress correspondence and reprint requests to Dr Schütz: PO Box 3021, 22031 Salmiya, State of Kuwait
  • ,
  • Hussein H. Hamed, BDS, HDD, MSc, PhD

      Affiliations

    • Senior Registrar, Oral and Maxillofacial Surgery Unit, Al-Adan Dental Center and the Oral and Maxillofacial Surgery Department; Ministry of Health, State of Kuwait.

References 

  1. Hall CEJ, Shutt LE. Nasotracheal intubation for head and neck surgery. Anaesthesia. 2003;58:249
  2. Marlow TJ, Goltra DD, Schabel SI. Intracranial placement of a nasotracheal tube after facial fracture: A rare complication. J Emerg Med. 1997;15:187
  3. Muzzi DA, Losasso TJ, Cucchiara RF. Complication from a nasopharyngeal airway in a patient with basilar skull fracture. Anesthesiology. 1991;74:366
  4. Bernard AC, Kenady DE. Conventional surgical tracheostomy as the preferred method of airway management. J Oral Maxillofac Surg. 1999;57:310
  5. Waldron J, Padgham ND, Hurley SE. Complications of emergency and elective tracheostomy: A retrospective study of 150 consecutive cases. Ann R Coll Surg Engl. 1990;72:218
  6. Taicher R, Navot G, Peleg M, et al. Changing indications for tracheostomy in maxillofacial trauma. J Oral Maxillofac Surg. 1996;54:292
  7. Hernández Altemir F. The submental route for endotracheal intubation (A new technique). J Maxillofac Surg. 1986;14:64
  8. Gordon NC, Tolstunov L. Submental approach to oroendotracheal intubation in patients with midfacial fractures. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1995;79:269
  9. Green JD, Moore UJ. A modification of sub-mental intubation. Br J Anaesth. 1996;77:789
  10. Caron G, Paquin R, Lessard MR, et al. Submental endotracheal intubation: An alternative to tracheostomy in patients with midfacial and panfacial fractures. J Trauma. 2000;48:235
  11. Chandu A, Smith ACH, Gebert R. Submental intubation: An alternative to short- term tracheostomy. Anaesth Intensive Care. 2000;28:193
  12. Amin M, Dill-Russell P, Manisali M, et al. Facial fractures and submental tracheal intubation. Anaesthesia. 2002;57:1195
  13. Meyer C, Valfrey J, Kjartansdottir T, et al. Indication for and technical refinements of submental intubation in oral and maxillofacial surgery. J Craniomaxillofac Surg. 2003;31:383
  14. Davis C. Submental intubation in complex craniomaxillofacial trauma. ANZ J Surg. 2004;74:379
  15. Kim KF, Doriot R, Morse MA, et al. Alternative to tracheostomy: Submental intubation in craniomaxillofacial trauma. J Craniofac Surg. 2005;16:498
  16. Rhee KJ, Muntz CB, Donald PJ, et al. Does nasotracheal intubation increase complications in patients with skull base fractures?. Ann Emerg Med. 1993;22:1145
  17. Martinez-Lage JL, Eslava JM, Cebrecos AI, et al. Retromolar intubation. J Oral Maxillofac Surg. 1998;56:302
  18. Wood DE. Tracheostomy. Chest Surg Clin N Am. 1996;6:749
  19. Nwoku AL, Al-Balawi SA, Al-Zahrani SA. A modified method of submental oroendotracheal intubation. Saudi Med J. 2002;23:73
  20. Nyárády Z, Sári F, Olasz L, et al. Submental endotracheal intubation in concurrent orthognathic surgery: A technical note. J Craniomaxillofac Surg. 2006;34:362
  21. Biglioli F, Mortini P, Goisis M, et al. Submental orotracheal intubation: An alternative to tracheotomy in transfacial cranial base surgery. Skull Base. 2003;13:189
  22. Taglialatela Scafati C, Maio G, Aliberti F, et al. Submento-submandibular intubation: Is the subperiosteal passage essential? (Experience in 107 consecutive cases). Br J Oral Maxillofac Surg. 2006;44:12
  23. MacInnis E, Baig M. A modified submental approach for oral endotracheal intubation. Int J Oral Maxillofac Surg. 1999;28:344
  24. Stoll P, Galli C, Wächter R, et al. Submandibular endotracheal intubation in panfacial fractures. J Clin Anesth. 1994;6:83
  25. Cova M, Ukmar M, Bole T, et al. Evaluation of lingual vascular canals of the mandible with computed tomography. Radiol Med (Torino). 2003;106:391
  26. Lim HK, Kim IK, Han JU, et al. Modified submental orotracheal intubation using the blue cap on the end of the thoracic catheter. Yonsei Med J. 2003;44:919
  27. Arya VK, Kumar A, Makkar SS, et al. Retrograde submental intubation by pharyngeal loop technique in a patient with faciomaxillary trauma and restricted mouth opening. Anesth Analg. 2005;100:534
  28. Altemir FH, Montero SH. The submental route revisited using the laryngeal mask airway: A technical note. J Craniomaxillofac Surg. 2000;28:343
  29. Yoon KB, Choi BH, Chang HS, et al. Management of detachment of pilot balloon during intraoral repositioning of the submental endotracheal tube. Yonsei Med J. 2004;45:748
  30. Drolet P, Girard M, Poirier J, et al. Facilitating submental endotracheal intubation with an endotracheal tube exchanger. Anesth Analg. 2000;90:222
  31. Stranc MF, Skoracki R. A complication of submandibular intubation in a panfacial fracture patient. J Craniomaxillofac Surg. 2001;29:174

PII: S0278-2391(08)00002-5

doi: 10.1016/j.joms.2007.12.027

Journal of Oral and Maxillofacial Surgery
Volume 66, Issue 7 , Pages 1404-1409 , July 2008