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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