Maxillofacial trauma patients present with airway problems. Submandibular intubation is an effective means of intubation to avoid tracheostomy for operative procedures. Airway is secured with oral endotracheal intubation in paralyzed patient and tube is then transplaced in sub mental or submandibular region. However there may be instances when paralyzing such trauma patients is not safe and short term tracheostomy is the only airway channel available for conduction of anesthesia. We report a case of submandibular intubation in awake patient of maxillofacial trauma with anticipated intubation problems.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5044733 | PMC |
| http://dx.doi.org/10.4103/1658-354X.177341 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Application of Submandibular Intubation as Alternative to Elective Short-Term Tracheotomy for Particular Cases of Oral and Maxillofacial Tumors Resection and Defects Reconstruction.
J Craniofac Surg
November 2024
State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases, Sichuan University.
Objective: To describe the cases of oral and maxillofacial tumors (OMFT) resection and defects reconstruction under submandibular intubation (SMI) performed in our institution; secondly, to systematically review and analyze the characteristics of studies about SMI in oral and maxillofacial surgery to estimate the incidence rate of complication.
Method: Data related to all 6 patients included in this study were prospectively collected from November 2016 to November 2023. The tract for endotracheal tube was created by bluntly dissection from the submandibular area to the floor of mouth.
Navigating the Airway Maze: Challenges and Strategies in Deep Neck Space Infections.
Cureus
October 2024
Otolaryngology - Head and Neck Surgery, Kauvery Medical Care (KMC) Speciality Hospitals (I) Ltd., Trichy, IND.
Article Synopsis
- The study investigates the clinical profiles and outcomes of patients diagnosed with deep neck space infections (DNSI), emphasizing the need for early surgical intervention and effective airway management.
- It highlights the primary causes of DNSI, which include nodal and odontogenic origins, and stresses that untreated underlying issues could lead to recurrent infections, increasing risks of morbidity and mortality.
- The research evaluated 20 patients in India, finding that the majority were male, with diabetes being a common risk factor; most cases were of nodal origin, with significant involvement of the submandibular space and the Streptococcus species identified as a common pathogen.
Submental/submandibular intubation: a journey from past to future.
Anesth Pain Med (Seoul)
October 2024
Department of Dental Anesthesiology, School of Dentistry and Dental Research Institute, Seoul National University, Seoul, Korea.
In 1986, Altemir published the first article on submental intubation as an alternative to tracheostomy for managing difficult airways. This review provides an overview of submental/submandibular intubation, covering its development, techniques, and clinical outcomes. Initially devised to address difficult airways in oral and maxillofacial surgery, the technique has since evolved.
View Article and Find Full Text PDFEffective blind bilateral superficial cervical plexus block for tracheostomy tube insertion in a geriatric patient with Ludwig angina with hypertension in resource constrained area: a case report.
J Med Case Rep
November 2024
Lecturer at Wachemo University Department of Anesthesia, Hosanna, Ethiopia.
Article Synopsis
- * A case study highlighted a 70-year-old woman treated for Ludwig angina using a superficial cervical plexus block, which allowed for successful surgery and stable postoperative recovery without major complications.
- * Proper airway management is crucial in treating Ludwig angina, as many patients require advanced care measures; however, there is still a lack of consensus on the best practices among healthcare providers.
Anaesthesia Management in a Case of Ludwig's Angina With Difficult Airway Managed by Emergency Tracheostomy.
Cureus
August 2024
Anaesthesiology, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth (Deemed to be University), Pune, IND.
Article Synopsis
- Severe neck infections like Ludwig's angina pose challenges for anesthesiologists, particularly with the risk of airway obstruction.
- A case report details an emergency procedure to drain the infection, showcasing the difficulties faced and the effective use of awake fiberoptic intubation to maintain the airway.
- The report highlights the need for rapid and effective management, stressing the importance of being prepared for interventions like tracheostomy when a patient's oxygen saturation declines.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!