CASE REPORT – Submental intubation in extensive maxillofacial trauma
ABSTRACT
Surgical repair of complex maxillofacial trauma presents a challenge to the surgeon and anesthesiologist.
Where intubations via oral and nasal route cannot be performed, sub-mental route of endotracheal intubation is a very useful alternative. It obviates the need for tracheostomy and its related complications.
We are presenting a case where we avoided tracheostomy in a patient with multiple maxillofacial fractures and opted for the sub-mental endotracheal intubation technique.
Ayesha Mohiuddin, DA*, Ahsan Shabir*, Riaz Ahmed Khan, MCPS, FCPS**,
Zubair Durrani, BDS, MBchB, FRCS***
*TMO (FCPS Anaesthesiology),
**Associate Professor & Head Dept. of Anaesthesia and Intensive Care,
***Consultant Faciomaxillary and Plastic Surgeon
Rehman Medical Institute, Peshawar Pakistan
Correspondence: Col ® Riaz Ahmed Khan, Head, Department of Anaesthesia, Pain and Intensive Care, Rehman Medical Institute, Hayatabad, Peshawar (Pakistan); E-mail: [email protected]