| CASE REPORT |
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| Year : 2015 | Volume
: 12
| Issue : 4 | Page : 296-300 |
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Submental intubation in paediatric oral and maxillofacial surgery: Review of the literature and report of four cases
Olanrewaju Abdurrazaq Taiwo1, Adebayo Aremu Ibikunle1, Ramat Oyebunmi Braimah1, Musa Kallamu Suleiman2
1 Department of Dental and Maxillofacial Surgery, Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria
2 Department of Anaesthesia, Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria
Correspondence Address:
Dr. Olanrewaju Abdurrazaq Taiwo
Department of Dental and Maxillofacial Surgery, Usmanu Danfodiyo University Teaching Hospital, Sokoto
Nigeria
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/0189-6725.172584
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Several oral and maxillofacial surgery procedures require the simultaneous use of the oropharyngeal space by both the surgeons and the anaesthetists. This poses a lot of challenges especially in optimally securing the airway. Nasotracheal intubation or tracheostomy with their significant morbidity might even be contraindicated in these scenarios owing to several factors elucidated in the literature. Submental endotracheal intubation might be the last resort in adequately protecting the airway without interfering with the surgery. It also permits concurrent access to the dental occlusion and nasal pyramid without the risk associated with nasal intubation and morbidity of tracheostomy. Contraindications include patients who require long periods of assisted ventilation and a severe traumatic wound on the floor of the mouth. Complications include localised infection and sepsis, poor wound healing or scarring, and post-operative salivary fistula. The rationale for this study is to describe the indications, contraindications and the technique of submental endotracheal intubation as performed in our hospital. |
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