Submental intubation versus tracheostomy in maxillofacial fractures

AbstractObjectiveTo compare submental intubation with tracheostomy in patients with maxillofacial fractures who were operated under general anesthesia and nasotracheal intubation was contraindicated.Patients and methodsThis prospective comparative study was conducted on 32 patients undergoing maxillofacial operations. All patients had a panfacial trauma (including naso-ethmoid orbital fracture combined with mandibular fracture). Patients who had unstable cervical vertebra, laryngeal trauma, urgent tracheostomy, and patients with expected prolonged postoperative ventilation were excluded from the study. Patients were randomly assigned to elective tracheostomy and submental intubation groups. The patients were evaluated according to the time required to do elective tracheostomy or submental intubation, the operation comorbidity and complications, and the postoperative scar.ResultsThe average time required to do submental intubation was 8.35  min versus 30.75 min required to do elective tracheostomy with significant difference (p 
Source: Oral and Maxillofacial Surgery - Category: ENT & OMF Source Type: research

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