Technical Note

Nasal speculum for submental intubation

Abstract

In 1986 Altemir, for the first time, described submental intubation for maxillofacial cases. A problem with the technique is that the edges of the tube may damage the anatomic tissues of the mouth floor. To avoid such damages, a modification of this technique using nasal speculum is presented here. Moreover, with this technique blood and detached tissues cannot enter into the endotracheal tube while passing through submental tissues.

Hernandez AF. The submental route for endotracheal intubation. A new technique. J Maxillofac Surg 1986;14(1): 64-5.

Meyer C, Valfrey J, Kjartansdottir T, Wilk A, Barriere P.Indication for and technical refinements of submental intubation in oral and maxillofacial surgery. J Craniomaxillofac Surg 2003; 31(6): 383-8.

Gordon NC, Tolstunov L. Submental approach to oroendotracheal intubation in patients with midfacial fractures. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1995; 79(3): 269-72.

Schutz P, Hamed HH. Submental intubation versus tracheostomy in maxillofacial trauma patients. J Oral Maxillofac Surg 2008; 66(7): 1404-9.

Davis C. Submental intubation in complex craniomaxillofacial trauma. ANZ J Surg 2004; 74(5):379-81.

Drolet P, Girard M, Poirier J, Grenier Y. Facilitating submental endotracheal intubation with an endotracheal tube exchanger. Anesth Analg 2000; 90(1): 222-3.

Nyarady Z, Sari F, Olasz L, Nyarady J. Submental endotracheal intubation in concurrent orthognathic surgery: a technical note. J Craniomaxillofac Surg 2006;34(6): 362-5.

Paetkau DJ, Stranc MF, Ong BY. Submental orotracheal intubation for maxillofacial surgery. Anesthesiology2000; 92(3): 912.

Caubi AF, Vasconcelos BC, Vasconcellos RJ, de Morais HH, Rocha NS. Submental intubation in oral maxillofacial surgery: review of the literature and analysis of 13 cases. Med Oral Patol Oral Cir Bucal 2008;13(3): E197-E200.

Files
IssueVol 1, No 1-2 (Winter/Spring 2014) QRcode
SectionTechnical Note
Keywords
Submental Intubation Speculum Maxillofacial Fracture
Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
Hashemi HM, Heidar H, Hashemi TM, Hashemi AM, Zahraei S. Nasal speculum for submental intubation. J Craniomaxillofac Res. 2016;1(1-2):30-31.