Submental approach of intubation for the management of maxillofacial trauma - a clinical study

Mohammed Shiju


Background: The submental approach for intubation allows an unhindered reduction and fixation of the complex maxillofacial fracture that required simultaneous access to nasal pyramid fractures by avoiding the need for tracheostomy. Aims and Objectives: To assess the efficacy of Submental approach intubation for the management of maxillofacial trauma. Materials and Methods: The sample consists of six patients. Data recorded were personal details, type of maxillofacial fracture, time required for intubation and intraoperative and postoperative complications related to the use of submental intubation. Results: Submental orotracheal intubation was completed successfully in six male patients with ages ranged from 35 to 55 years. No accidental extubation or tube injuries occurred. The mean time from the ventilator was approximately 2minutes and there was no significant oxygen desaturation in any patient during the procedure. No major complications such as hemorrhage, injury to sublingual glands, Wharton’s duct, lingual nerve, or oro-cutaneous fistula was observed. Conclusion: Submental intubation has proven effective in terms of efficiency and surgical time required.


Maxillofacial Trauma; Pan facial fracture; Submental Intubation


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