A Simple and Reliable Submental Intubation Technique for Maxillofacial Fractures
| Autor: | Daisuke Sato, Mine Ozaki, Jun Oba, Masahide Fujiki, Naoya Oshima, Tomohiro Shiraishi, Tsukasa Kawauchi, Kiyonori Harii, Akihiko Takushima |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent medicine.medical_treatment nasal Oral cavity Maxillary Fractures Dental Occlusion 03 medical and health sciences Cicatrix Young Adult 0302 clinical medicine Tracheotomy Postoperative Complications Skull fracture 030202 anesthesiology Mandibular Fractures medicine Intubation Intratracheal Intubation Humans In patient Nasal Bone Aged submental Submental intubation Silk suture Skull Fractures Sutures business.industry Dental occlusion 030206 dentistry General Medicine Middle Aged medicine.disease Skull Fracture Basilar Surgery tracheotomy Otorhinolaryngology ComputingMethodologies_DOCUMENTANDTEXTPROCESSING panfacial fracture business Technical Strategies |
| Zdroj: | The Journal of Craniofacial Surgery |
| ISSN: | 1536-3732 1049-2275 |
| Popis: | Supplemental Digital Content is available in the text In 1986, Altemir first reported the use of submental intubation to avoid tracheotomy in patients with panfacial and midfacial fractures for whom intermaxillary fixation is necessary, but orotracheal and nasotracheal intubations are not recommended. This novel technique allowed intraoperative access to perform dental occlusion and reconstruction of the nasal pyramid in patients with skull base fractures. Herein, we describe a refined technique based on Altemir's original procedure. Seven male patients with panfacial fractures underwent submental intubation using our refined technique. The technique was developed after encountering a technical error with Altemir's original procedure. In this new technique, we employed a 2-0 silk suture guide to allow the passage of both the endotracheal and cuff-inflation tubes through the same tunnel created from the oral cavity to the submental area. The success rate of the refined technique was 100%, and there were no intraoperative or postoperative complications. There was 20 seconds of ventilation outage time in total. Endotracheal and cuff-inflation tubes were easily and quickly passed through the same submental tunnel. Our refined technique is simple, easy, safe, fast, inexpensive, and does not require specific materials. Submental scars were smaller and relatively inconspicuous in this study, compared to those reportedly associated with other modified techniques. |
| Databáze: | OpenAIRE |
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