Nigerian Medical Journal

Log in or Register to get access to full text downloads.

Remember me or Register

DOWNLOAD FULL TEXT Open Access  DOWNLOAD FULL TEXT Subscription or Fee Access

Mordified Submental Endotracheal Intubation Technique in Maxillofacial Injuries

HA Ezike, VO Ajuzieogu, CC Uguru, T Onyeka


Submental endotracheal intubation was carried out in five patients
over a two-year period. Each patient required maxillomandibular fixation following trauma.Acommon feature in these patients was depressed fracture of the frontonasal bone which could not permit nasal intubation. These patients were reluctant to have tracheostomy if there was an alternative option of securing their airway. Following a normal orotracheal intubation, a submand incision was made and the proximal endotracheal tube (ETT)
exteriorized through it. At the end of anaesthesia and surgery, the tube was left insitu for six to forty-eight hours before extubation. The incision was closed following local anaesthetic (LA) infiltration and no airway compromisewas noted. Submental intubation is a simple and useful technique with low morbidity in cases of craniomaxillofacial trauma and the authors’ clinical experience with this technique is described.

Niger Med J. Vol. 49, No. 4, Oct – Dec, 2008: 101– 103.

Keywords: SubmentalEndotracheal, Intubation,Maxillofacial.

AJOL African Journals Online