J Korean Assoc Maxillofac Plast Reconstr Surg.
2008 Nov;30(6):604-607.
Submental Intubation in Panfacial Trauma Patient: A Case Report
- Affiliations
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- 1Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University, Seoul, Korea. kimoms@yuhs.ac
- 2Department of Anesthesiology, College of Medicine, Yonsei University, Seoul, Korea.
Abstract
- The technique of submental intubation in patient with multiple facial fracture and skull base fracture was originally described by Altemir. Not only is intermaxillary fixation feasible when using this surgical technique but a good field of vision is acquirable, and postoperative complications due to tracheostomy can be prevented. After Altemir presented submental intubation, many modified techniques were reported, applicable not only to trauma patients but also to elective surgeries such as orthognathic surgery including Lefort II or III osteotomy. This technique is easy to use, rapid and free of complications compared to alternative intubation method especially tracheostomy for multiple facial trauma patients.
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