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Submental intubation

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https://www.readbyqxmd.com/read/29561488/submental-intubation-an-underutilized-technique-for-airway-management-in-patients-with-panfacial-trauma
#1
Adam Kaiser, Adam Semanoff, Louis Christensen, Rory Sadoff, Jody C DiGiacomo
PURPOSE: To evaluate submental intubation compared with secure airways of patients who have sustained significant maxillofacial trauma. PATIENTS AND METHODS: Patient series of 3 patients who underwent submental intubation prior to open reduction internal fixation of fractures associated with the mid and lower face. All of these patients were initially orally intubated, and then converted to submental intubation prior to the reparative procedure. Detailed description of the procedure is discussed in each patient...
March 20, 2018: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/29535964/airway-management-through-submental-derivation-a-safe-and-easily-reproduced-alternative-for-patients-with-complex-facial-trauma
#2
Fernando González-Magaña, Héctor Omar Malagón-Hidalgo, Eugenio García-Cano, Roberto Vilchis-López, Adriana Fentanes-Vera, Fernan-Alejandra Ayala-Ugalde
Objectives: Airway management in patients with panfacial trauma is complicated. In addition to involving facial lesions, such trauma compromises the airway, and the use of intermaxillary fixation makes it difficult to secure ventilation by usual approaches (nasotracheal or endotracheal intubation). Submental airway derivation is an alternative to tracheostomy and nasotracheal intubation, allowing a permeable airway with minimal complications in complex patients. Materials and Methods: This is a descriptive, retrospective study based on a review of medical records of all patients with facial trauma from January 2003 to May 2015...
February 2018: Journal of the Korean Association of Oral and Maxillofacial Surgeons
https://www.readbyqxmd.com/read/28928591/accidental-perforation-of-submental-flexometallic-tube
#3
Subbulakshmi Sundaram, Gowthaman Ramdas, Anisha Pauline Paul, Sekaran Natesan Krishnasamy
Oral and maxillofacial surgeries associated with complications due to endotracheal tube (ETT) damage are being reported in literature increasingly. In this case, we report a rare case of accidental perforation of a flexometallic ETT intraoperatively during an orthognathic corrective surgery, in a 19-year-old female patient in whom submental intubation had been performed. The complication was managed conservatively as the tissue debris created during the osteotomy drilling occluded the damage and caused a good seal of the damage, with minimal leak, and no airway compromise...
July 2017: Anesthesia, Essays and Researches
https://www.readbyqxmd.com/read/28858549/submental-intubation-in-cases-of-panfacial-fractures-a-retrospective-study
#4
Willian Caetano Rodrigues, Willian Morais de Melo, Rafael Santiago de Almeida, Shajadi Carlos Pardo-Kaba, Celso Koogi Sonoda, Elio Hitoshi Shinohara
Surgical treatment of panfacial fractures usually requires intraoperative temporary occlusion of the teeth and simultaneous access to the nasal pyramid. In such cases, the standard method of airway management is to perform a tracheostomy, but this may be associated with a significant number of perioperative and late complications. This study aimed to determine if submental endotracheal intubation (SEI) is a viable alternative to tracheostomy, especially when short-term postoperative control of the airway is foreseen...
December 0: Anesthesia Progress
https://www.readbyqxmd.com/read/28846011/how-to-overcome-the-challenges-of-non-detachable-connector-tubes-in-submental-intubation-for-panfacial-fractures
#5
Sahand Samieirad, Hussein Khalife, Mehrdad Noroozi, Elahe Tohidi, Maryam Alsadat Hashemipour
INTRODUCTION: Armored removable connector tubes are not always available in operating rooms for routine Altemir submental intubation (SMI) technique. The present study addresses a fiber-optic glidoscopy assisted 2-tubes modification of Green & Moore sequence for submandibular intubation. METHODS: The sample was composed of 11 patients (8 males and 3 females) with panfacial fractures where neither the oral and nasal intubation techniques nor tracheostomy were feasible...
August 2017: Archives of Iranian Medicine
https://www.readbyqxmd.com/read/28669485/long-term-stability-of-limiting-nasal-alar-base-width-changes-with-a-cinch-suture-following-le-fort-i-osteotomy-with-submental-intubation
#6
R Raithatha, F B Naini, S Patel, M Sherriff, H Witherow
The aim of this study was to assess the effectiveness of the nasal alar base cinch suture following Le Fort I osteotomy at long-term follow-up. One hundred and forty participants (89 female, 51 male) aged between 16 and 51 years underwent Le Fort I osteotomy with submental intubation. Anthropometric measurements of the nose were taken intraoperatively, immediately postoperative, and for up to 3 years postoperative: the maximum lateral convexity of the alae (Al-Al) and the lateral extremity of the alar base curvature at the alar groove (Ac-Ac)...
June 29, 2017: International Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/28403413/can-tongue-thickness-measured-by-ultrasonography-predict-difficult-tracheal-intubation
#7
W Yao, Bin Wang
Background.: Increased tongue thickness is likely to be associated with difficult airways. However, no methods to evaluate tongue thickness were available. Currently, tongue thickness can be measured by ultrasonography. The present study investigated the predictive value of tongue thickness to predict difficult tracheal intubation. Methods.: Adult patients undergoing tracheal intubation and general anaesthesia were enrolled in the study. Tongue thickness was assessed using submental ultrasonography in the median sagittal plane before anaesthesia...
April 1, 2017: British Journal of Anaesthesia
https://www.readbyqxmd.com/read/27924286/submental-intubation-in-patients-with-complex-maxillofacial-injuries
#8
Yuseon Cheong, Seong Sik Kang, Minsoo Kim, Hee Jeong Son, Jaewoo Park, Jeong-Mo Kim
Airway management in patients with complex maxillofacial injuries is a challenge to anesthesiologists. Submental intubation is a useful technique that is less invasive than tracheostomy in securing the airways where orotracheal and nasotracheal intubation cannot be performed. This procedure avoids the use of tracheostomy and bypasses its associated morbidities. A flexible and kink-resistant reinforced endotracheal tube with detachable universal connector is commonly used for submental intubation. Herein, we report cases involving submental intubation using a reinforced endotracheal tube with a non-detachable universal connector in patients with complex maxillofacial injuries...
September 2016: Journal of Lifestyle Medicine
https://www.readbyqxmd.com/read/27429940/submental-intubation-in-maxillofacial-fracture-a-case-report
#9
Hooshang Akbari, Mohammad Ali Heidari-Gorji, Rostam Poormousa, Mitra Ayyasi
It can be challenging to create a safe airway in maxilla facial fracture and some skull surgeries. In this case study, the patient experienced jaw fractures that disturbed the dental occlusion and associated fracture of the base of the skull. Neither nasal nor oral intubation was possible based on the side effects of tracheotomy; therefore, submental intubation was applied successfully. The procedure and results are presented in the text.
June 2016: Journal of the Korean Association of Oral and Maxillofacial Surgeons
https://www.readbyqxmd.com/read/27429937/submental-intubation-alternative-short-term-airway-management-in-maxillofacial-trauma
#10
Ravi Raja Kumar, Suresh Vyloppilli, Shermil Sayd, Annamala Thangavelu, Benny Joseph, Auswaf Ahsan
OBJECTIVES: To assess submental route intubation as an alternative technique to a tracheostomy in the management of the airway in cranio-maxillofacial trauma, along with an assessment of its morbidity and complications. MATERIALS AND METHODS: Submental intubation was performed in 17 patients who had maxillofacial panfacial trauma and management was done under general anesthesia during a period of one year from 2013 to 2014 at Departments of Oral and Maxillofacial Surgery and Dentistry, the Malankara Orthodox Syrian Church Medical College, Kochi, India...
June 2016: Journal of the Korean Association of Oral and Maxillofacial Surgeons
https://www.readbyqxmd.com/read/27298544/quest-for-an-ideal-route-of-intubation-for-oral-and-maxillofacial-surgical-manoeuvres
#11
Ashwant Kumar Vadepally, Brig Ramen Sinha, A V S S Subramanya, Anmol Agarwal
PURPOSE: The optimal route of intubation that may be planned for different oral and maxillofacial surgical manoeuvres. MATERIALS AND METHODS: A study was performed on patients who underwent nasal, oral or submental route of intubation for elective oral and maxillofacial surgery under general anaesthesia. The study variables were the anaesthetic and surgeon factors that should be taken into consideration before intubation and during surgery, and also algorithms for uneventful surgical procedures...
June 2016: Journal of Maxillofacial and Oral Surgery
https://www.readbyqxmd.com/read/27162750/evaluation-of-safety-and-usefulness-of-submental-intubation-in-panfacial-trauma-surgery
#12
Mohanavalli Singaram, Ilango Ganesan, Radhika Kannan, Rajesh Kumar
OBJECTIVES: Submental intubation has been advocated as an alternative to classical tracheostomy for certain indicated panfacial trauma surgeries. Surgeons should have various options for airway management in maxillofacial trauma patients. Most maxillofacial injuries involve occlusal derangements, which might require intraoperative occlusal corrections; hence, orotracheal intubation is not ideal. Maxillofacial surgeons generally prefer nasotracheal intubation; however, in cases with concomitant skull base fracture or nasal bone fracture, nasotracheal intubation might not be suitable; in these situations, tracheostomy is typically performed...
April 2016: Journal of the Korean Association of Oral and Maxillofacial Surgeons
https://www.readbyqxmd.com/read/27138007/minimally-traumatic-submental-intubation-a-novel-dilational-technique
#13
A Ujam, M Perry
PURPOSE: Submental intubation is widely accepted as a safe and effective alternative to nasal intubation or tracheostomy in head and neck surgery patients. Forceful or careless technique can cause significant bleeding and trauma to the soft tissues at this point, increasing the likelihood of troublesome sublingual haematoma. METHODS: We describe the use of a percutaneous tracheostomy horn (Cook Medical Blue Rhino(®)) to allow minimally traumatic submental intubation without the need for serial dilations...
June 2017: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://www.readbyqxmd.com/read/27021536/efficacy-and-complications-of-submental-tracheal-intubation-compared-with-tracheostomy-in-maxillofacial-trauma-patients
#14
COMPARATIVE STUDY
Ryosuke Kita, Toshihiro Kikuta, Masahiro Takahashi, Taishi Ootani, Masao Takaoka, Michitaka Matsuda, Hiroki Tsurushima, Izumi Yoshioka
Submental tracheal intubation is a technique for use in patients with maxillofacial trauma. The purpose of this retrospective study was to evaluate the efficacy and complications of this technique compared with tracheostomy. Twenty-five patients underwent submental tracheal intubation since 2001. Submental tracheal intubation was performed in cases needing intermaxillary fixation complicated by a nasal pyramid or anterior skull base fracture. No severe perioperative or long-term complications were noted. Intra- and postoperative complications were observed in three patients...
2016: Journal of Oral Science
https://www.readbyqxmd.com/read/26957708/a-modified-submental-orotracheal-intubation
#15
Keelara Shivalingaiah Savitha, Abha Rani Kujur, M S Vikram, Shirley Joseph
In patients with concomitant occurrence of maxillofacial and basilar skull fractures, open reduction and internal fixation is the treatment. It requires intermittent intra operative dental occlusion which precludes oral or nasal intubation. In such cases submental intubation (SMI) is a recognized technique in practice. We describe a modified technique for smooth exteriorization of the endotracheal tube (ETT) during SMI. As the SMI technique is unusual for the performer, emphasis is laid on the applied aspects to minimize probable complications during the procedure...
January 2016: Anesthesia, Essays and Researches
https://www.readbyqxmd.com/read/26929568/assessment-of-the-efficacy-of-submental-intubation-in-the-management-of-midfacial-and-panfacial-trauma-patients
#16
K A Jeevan Kumar, B Pavan Kumar, A P Mohan, Aruna Kishore Masram, David Tyro, Divya Gandla
No abstract text is available yet for this article.
March 2016: Journal of Maxillofacial and Oral Surgery
https://www.readbyqxmd.com/read/26822741/submental-orotracheal-intubation-a-technique-for-airway-management-in-severe-facial-trauma
#17
Benjamin D Bradford, Jared C Inman, Farhad Ardeshirpour
No abstract text is available yet for this article.
May 1, 2016: JAMA Facial Plastic Surgery
https://www.readbyqxmd.com/read/26712300/submental-intubation-in-paediatric-oral-and-maxillofacial-surgery-review-of-the-literature-and-report-of-four-cases
#18
REVIEW
Olanrewaju Abdurrazaq Taiwo, Adebayo Aremu Ibikunle, Ramat Oyebunmi Braimah, Musa Kallamu Suleiman
Several oral and maxillofacial surgery procedures require the simultaneous use of the oropharyngeal space by both the surgeons and the anaesthetists. This poses a lot of challenges especially in optimally securing the airway. Nasotracheal intubation or tracheostomy with their significant morbidity might even be contraindicated in these scenarios owing to several factors elucidated in the literature. Submental endotracheal intubation might be the last resort in adequately protecting the airway without interfering with the surgery...
October 2015: African Journal of Paediatric Surgery: AJPS
https://www.readbyqxmd.com/read/26513672/overinflation-of-a-king-lt-extraglottic-airway-device-mimicking-ludwig-s-angina
#19
Tristan C Dumbarton, Orlando R Hung, Blaine Kent
In this report, we describe the case of a young female with Down syndrome who presented to the anesthesia service after pulseless electrical activity arrest with a King LT(S)-D extraglottic airway device in situ. She had multiple predictors of difficult intubation, including what appeared to be a submental mass consistent with Ludwig's angina. She went on to receive an urgent tracheotomy because of those predictors but had full resolution of the submental mass on removal of the extraglottic airway device, which had been overinflated at the time of insertion...
February 15, 2016: A & A Case Reports
https://www.readbyqxmd.com/read/26492531/evaluation-of-alternative-airway-management-strategies-in-surgical-repair-of-severe-cranio-maxillofacial-trauma
#20
Xinpei Zhang, Xing Wang, Qianping Gu, Jie Zhang, Ruihan Wu, Qianwei Zhuang, Li Na, Jian Meng
BACKGROUND: Severe cranio-maxillofacial trauma requires the utilization of alternative airway management techniques when oral and nasal routes of tracheal intubation are either not possible or contraindicated. METHODS: This retrospective study evaluated the techniques of submental intubation, retromolar intubation and tracheostomy in terms of their frequency of use, time required, costs involved and associated complications in a total of 200 patients. RESULTS: Frequency of utilization of alternative airway management techniques was 3...
December 2016: Minerva Chirurgica
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