Title: Submental Intubation in Panfacial Fracture: A Case Report
Authors: Dr Anita R. Pal, Dr Sunita R. Pal, Dr Varun Tiwari
The various methods of endotracheal intubation practiced today includes oral, nasal, submental, retrograde, optical fibre& tracheostomy. Submental intubation is an exceptional alternative of tracheostomy, especially in postoperative period when short-term control of the airway is needed without disturbing the oral cavity and the nasal bone. Here is a case of submental intubation with paramedian incision in a 34-year patient of Panfacial trauma presented to the Department of Oral and Maxillofacial Surgery, Rajarajeswari Dental College Hospital and, Bangalore. The patient had Lefort II and communited Nasal bone fracture and anterior wall of maxilla along with midpalatal split. After orotracheal intubation a passage was made by blunt dissection using an artery forceps through the floor of the mouth in the submental area by placing a paramedian incision in the region of 44 and 45. The proximal end of the endotracheal tube was withdrawn through this paramedian incision. The procedure was completed without any interference from the ET tube.
Keywords: Submental intubation, Maxillofacial fractures, Panfacial fractures, Airway management, ET tube, Tracheostomy.