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VOLUME 7 , ISSUE 2 ( July-December, 2022 ) > List of Articles


Submental Intubation in a Patient with Head Injury and Maxillofacial Trauma

Shaikh Mohd Mudassir, Amjad Shaikh, Heramb N Bawaskar

Keywords : Airway, Intubation, Maxillofacial injury, Submental intubation

Citation Information : Mudassir SM, Shaikh A, Bawaskar HN. Submental Intubation in a Patient with Head Injury and Maxillofacial Trauma. Res Inno Anesth 2022; 7 (2):65-68.

DOI: 10.5005/jp-journals-10049-2017

License: CC BY-NC 4.0

Published Online: 22-10-2022

Copyright Statement:  Copyright © 2022; The Author(s).


Patients with coexisting head and maxillofacial injuries present with unique challenges to the anesthesiologist. Providing an adequate and clear operative field for the surgeon for optimal surgical correction is of prime importance. At the same time, maintaining secure airway control throughout the completion of the surgery is mandatory, which the anesthesiologist has to balance, considering the options available. It is always good to expand the available options for airway control to suit the individual needs of patients and surgery. Submental intubation (SMI) is one such technique that can be very useful in such a scenario. We report one such case of zygomatic arch plate fixation, for which we opted for SMI.

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  1. Straetmans J, Schlöndorff G, Herzhoff G, et al. Complications of midline-open tracheotomy in adults. Laryngoscope 2010;120(1):84–92. DOI: 10.1002/lary.20703
  2. Halum SL, Ting JY, Plowman EK, et al. A multi-institutional analysis of tracheotomy complications. Laryngoscope 2012;122(1):38–45. DOI: 10.1002/lary.22364
  3. Altemir FH. The submental route for endotracheal intubation. A new technique. J Maxillofac Surg 1986;14(1):64–65. DOI: 10.1016/s0301-0503(86)80261-2
  4. Caubi AF, Vasconcelos BC, Vasconcellos RJ, et al. Submental intubation in oral maxillofacial surgery: review of the literature and analysis of 13 cases. Med Oral Patol Oral Cir Bucal 2008;13(3):E197–E200. PMID: 18305443.
  5. Yadav SK, Deo G. Submental intubation including extubation: airway complications of maxillomandibular fixation. Case Rep Anesthesiol 2012;2012(6):841051. DOI: 10.1155/2012/841051
  6. 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(6):383–388. DOI: 10.1016/j.jcms.2003.07.005
  7. Amin M, Dill-Russell P, Manisali M, et al. Facial fractures and submental tracheal intubation. Anaesthesia 2002;57(12):1195–1199. DOI: 10.1046/j.1365-2044.2002.02624_1.x
  8. Durbin CG Jr. Early complications of tracheostomy. Respir Care 2005;50(4):511–515. PMID: 15807913.
  9. Caron G, Paquin R, Lessard MR, et al. Submental endotracheal intubation: an alternative to tracheotomy in patients with midfacial and panfacial fractures. J Trauma 2000;48(2):235–240. DOI: 10.1097/00005373-200002000-00007
  10. Patkar GA, Virkar ND, Anusha MS, et al. A study of submental intubation for anaesthesia in patients with faciomaxillary injuries. Int J Clin Trials 2016;3(3):132–139. DOI: 10.18203/2349-3259.ijct20162238
  11. Oshima N, Shiraishi T, Kawauchi T, et al. A simple and reliable submental intubation technique for maxillofacial fractures. J Craniofac Surg 2018;29(7):1952–1955. DOI: 10.1097/SCS.0000000000004628
  12. Junior JM, Kluppel LE, Stabile CLP, et al. Submental endotracheal intubation as an alternative to tracheostomy in selected cases of facial fracture: literature review and technique report. Ulus Travma Acil Cerrahi Derg 2012;18(6):545–548. DOI: 10.5505/tjtes.2012.43403
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