Mar 15, 2014 · Airway Management in Maxillofacial Trauma: Do We Really Need Tracheostomy/Submental Intubation In our study, oral intubation was done only in cases of fracture zygoma and fracture nasal bone. Nasotracheal intubation in a patient with maxillo-facial and basal skull fractures (letter) Anaesthesia. 2004; 59 (3):299–300.Cited by: 8.
Submental intubation technique consists of passing the tube through the anterior floor of mouth, allowing free intraoperative access to oral cavity and nasal pyramid without endangering patients with skull base trauma. Submental intubation, thus, as an alternative to tracheostomy can be used when short-term postoperative control of airway is.
Feb 06, 2004 · Although there is a revival in interest in submental intubation, the technique is not yet widely used by maxillo‐facial surgeons. We performed a literature search and uncovered a number of articles challenging the conventional dogma of making a base of skull fracture an absolute contraindication to nasotracheal intubation.Cited by: 5.
Some surgeons routinely take a skull film at 1 year after linear skull fracture treated nonoperatively to detect such growing skull fractures. For this reason it is worthwhile for the primary care doctor to examine the scalp and skull of any child with a known skull fracture under the age of 2 or 3.