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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Afr+J+Paediatr+Surg
2015 ; 12
(4
): 296-300
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English Wikipedia
Submental intubation in paediatric oral and maxillofacial surgery: Review of the
literature and report of four cases
#MMPMID26712300
Taiwo OA
; Ibikunle AA
; Braimah RO
; Suleiman MK
Afr J Paediatr Surg
2015[Oct]; 12
(4
): 296-300
PMID26712300
show ga
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.