Early reconstruction of facial fractures by open reduction and internal fixation (ORIF) has recently become the standard of care in the management. Submental intubation is a useful technique that is considered less invasive compared to tracheostomy in securing the airways where orotracheal intubation and nasotracheal intubation are difficult to perform, also preventing tracheostomy-related complications. Submental intubation is considered a reliable alternative to tracheostomy in patients undergoing complex maxillofacial surgeries who do not require postoperative ventilatory support. Here, we report a case of 36-year-old male patient who presented with a Le Fort II fracture.
Altemir FH. The submental route for endotracheal intubation: a new technique. J Maxillofac Surg 1986;14(1):64–65. DOI: 10.1016/s0301-0503(86)80261-2.
Cheong Y, Kang SS, Kim M, Son HJ, Park J, Kim JM. Submental intubation in patients with complex maxillofacial injuries. J Lifestyle Med 2016;6(2):68. PMID: 27924286.
Prakash VJ, Chakravarthy C, Attar AH. Submental/transmylohyoid route for endotracheal intubation in maxillofacial surgical procedures: a review. J Int Oral Health: JIOH 2014;6(3):125. PMID: 25083048.
Oshima N, Shiraishi T, Kawauchi T, Oba J, Sato D, Fujiki M, et al. A simple and reliable submental intubation technique for maxillofacial fractures. J Craniofac Surg 2018;29(7):1952. DOI: 10.1097/SCS.0000000000004628.
Shetty PM, Yadav SK, Upadya M. Submental intubation in patients with panfacial fractures: a prospective study. Indian J Anaesth 2011;55(3):299. DOI: 10.4103/0019-5049.82685.
Kumar RR, Vyloppilli S, Sayd S, Thangavelu A, Joseph B, Ahsan A. Submental intubation: alternative short-term airway management in maxillofacial trauma. J Korean Assoc Oral Maxillofac Surg 2016;42(3):151–156. DOI: 10.5125/jkaoms.2016.42.3.151.
Patel BC, Wright T, Waseem M. Le Fort fractures. InStatPearls [Internet]; 2021. p. 25. Available from: https://www.ncbi.nlm.nih.gov/books/NBK526060/.
