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Year : 2019  |  Volume : 2  |  Issue : 1  |  Page : 41-44

Anaesthetic management of panfacial injury using submental endotracheal intubation

Department of Anaesthesiology, BJ Medical College, Civil Hospital, Ahmedabad, Gujarat, India

Correspondence Address:
Dr. Mahendrabhai Gautam Vaishali
9, Rangdarshan Society, Near Tirupati Society, Radhaswami Road, Ranip, Ahmedabad - 382 480, Gujarat
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ARWY.ARWY_4_19

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Hernandez first described the submental route for endotracheal intubation in 1986 as a valuable alternative to tracheostomy for maxillofacial procedures. Over a 5-year period, we have successfully managed 25 patients of panfacial trauma using the submental route of endotracheal intubation without facing significant adverse outcomes. Submental intubation is contraindicated in patients suffering from neurological deficits who may require prolonged ventilation postoperatively. However, patients who require ventilation for short procedures may be managed using the submental route for endotracheal intubation without significant perioperative comorbidities.

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