Year: 2024
Type: article
Abstract: BackgroundAirway management in patients with complex craniofacial injuries is a challenge for surgeons and anesthesiologists.The need to ventilate without interfering with dental occlusion or worsening skull base injuries makes orotracheal and nasotracheal intubations unsuitable in some situations.As an alternative, tracheotomy ensures airway safety without interfering with the operative field in craniofacial traumas.However, the procedure is associated with significant morbidity such as hemorrhage, pneumothorax, infection, or tracheal stenosis [1-3].In this context, submental intubation appears as a suitable alternative.Its speed of execution and low morbidity have led to its widespread use in craniofacial and head and neck surgery.However, many surgical and anesthesia teams involved in trauma management remain unfamiliar with the submental intubation procedure, whereas it requires excellent coordination between surgeons and anesthesiologists.This technical report aims to focus on the clinical anatomy of the submental region and to present a stepby-step description of the surgical procedure based on video.
Source: Head & Neck
DOI: 10.1002/hed.28050
Language: English
Subfield: Anesthesiology and Pain Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: hybrid
Estimated APC paid: $4,760
OpenAlex ID: W4405818602