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2018 ; 44
(1
): 12-17
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Airway management through submental derivation: a safe and easily reproduced
alternative for patients with complex facial trauma
#MMPMID29535964
González-Magaña F
; Malagón-Hidalgo HO
; García-Cano E
; Vilchis-López R
; Fentanes-Vera A
; Ayala-Ugalde FA
J Korean Assoc Oral Maxillofac Surg
2018[Feb]; 44
(1
): 12-17
PMID29535964
show ga
OBJECTIVES: Airway management in patients with panfacial trauma is complicated.
In addition to involving facial lesions, such trauma compromises the airway, and
the use of intermaxillary fixation makes it difficult to secure ventilation by
usual approaches (nasotracheal or endotracheal intubation). Submental airway
derivation is an alternative to tracheostomy and nasotracheal intubation,
allowing a permeable airway with minimal complications in complex patients.
MATERIALS AND METHODS: This is a descriptive, retrospective study based on a
review of medical records of all patients with facial trauma from January 2003 to
May 2015. In total, 31 patients with complex factures requiring submental airway
derivation were included. No complications such as bleeding, infection, vascular,
glandular, or nervous lesions were presented in any of the patients. RESULTS: The
use of submental airway derivation is a simple, safe, and easy method to ensure
airway management. Moreover, it allows an easier reconstruction. CONCLUSION:
Based on these results, we concluded that, if the relevant steps are followed,
the use of submental intubation in the treatment of patients with complex facial
trauma is a safe and effective option.