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  Česky / Czech version Anest. intenziv. Med., 15, 2004, č. 5, s. 224–228.
 
Submental Intubation: Surgical and Anaesthesiological Aspects 
Koudstaal M. J.1, van der Wal K. G. H.1, Mallios C.2, Rupreht J.2 

1Department of Oral and Maxillofacial Surgery, Erasmus University Medical Center, Rotterdam 2Department of Anesthetics, Erasmus University Medical Center, Rotterdam
 


Summary:

       The aim of this report from our practice is to evaluate the submental intubation during procedures and postoperatively in patients with craniomaxillofacial trauma and corrections of craniofacial anomalies. Between June 2001 and May 2002 the submental endotracheal intubation was performed in 5 patients with craniomaxillofacial trauma and in 2 patients with craniofacial anomalies, the Dubowitz syndrome (Le Fort II osteotomy and distraction) and a patient known with a double cleft lip alveolus and palate (Le Fort I osteotomy and distraction).The impression is that the submental intubation is a handy, fast and safe technique, which provides an airway in cases of severe mandibular and craniomaxillofacial trauma and in corrections of craniofacial anomalies. It enables the surgeon an excellent view and access to of the operation field and permits optimal intra-operative control of the occlusion. No post-operative intubation related complications were seen.

        Key words: intubation – submental – indications
       

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