Transmylohyoid Orotracheal Intubation: An Expedient
Method of Airway Management in Multiple Facial Fractures

Rajesh Kshirsagar; Vrushika H Mahajan; Vishal Tapadiya; Sudhir Pawar

doi:10.5005/jp-journals-10015-1478

SEARCH WITHIN CONTENT

Online First

Transmylohyoid Orotracheal Intubation: An Expedient Method of Airway Management in Multiple Facial Fractures

Rajesh Kshirsagar, Vrushika H Mahajan, Vishal Tapadiya, Sudhir Pawar

Citation Information : Kshirsagar R, H Mahajan V, Tapadiya V, Pawar S. Transmylohyoid Orotracheal Intubation: An Expedient Method of Airway Management in Multiple Facial Fractures. World J Dent 2017; 8 (5):422-424.

DOI: 10.5005/jp-journals-10015-1478

License: CC BY-SA 4.0

Published Online: 01-12-2017

ARTICLE
REFERENCES

Abstract

Aim: The purpose of this article is to reiterate the importance of transmylohyoid orotracheal intubation in panfacial fractures that require maxillomandibular fixation (MMF) followed by assessment of occlusion and the need to avoid tracheostomy. Maxillofacial injuries are very common following road traffic accidents. Many times, injured patients present with panfacial fractures and need intraoperative MMF to attain dental occlusion, setting unique anesthetic challenges. A choice often has to be made between orotracheal and nasotracheal when surgical access to the nasal or oral cavity is necessary. A 28-year-old obese male patient was scheduled for the management of panfacial fracture sustained in a motorcycle accident. Transmylohyoid orotracheal intubation was performed due to the need for MMF. Transmylohyoid orotracheal intubation is a simple, secure, and effective procedure for operative airway control in major panfacial traumas. Clinical significance: Transmylohyoid orotracheal intubation should be chosen over tracheostomy in panfacial fractures that manifest as MMF.

PDF Share

Biglioli F, Mortini P, Goisis M, Bardazzi A, Boari N. Submental orotracheal intubation: an alternative to tracheotomy in transfacial cranial base surgery. Skull Base 2003 Nov;13(4):189-195
Submental endotracheal intubation: an alternative to tracheotomy in patients with midfacial and panfacial fractures. J Trauma 2000 Feb;48(2):235-240
Complication from a nasopharyngeal airway in a patient with a basilar skull fracture. Anesthesiology 1991 Feb;74(2):366-368
Blast injury face: an exemplified review of management. Natl J Maxillofac Surg 2013 Jan-Jun;4(1):33-39
Submental intubation versus tracheostomy. Br J Anaesth 2002 Aug;89(2):344-345
Retromolar intubation. J Oral Maxillofac Surg 1998 Mar;56(3): 302-306
The submental route for endotracheal intubation. A new technique. J Maxillofac Surg 1986 Feb;14(1):64-65
Transmylohyoid oroendotracheal intubation: a novel method. J Craniofac Surg 1992 Jul;3(1):39-40
Transmylohyoid/Submental intubation: review, analysis, and refinements. J Craniofac Surg 2010 Mar;21(2):516-519
Retrograde submental intubation by pharyngeal loop technique in a patient with faciomaxillary trauma and restricted mouth opening. Anesth Analg 2005 Feb;100(2):534-537.

PDF Share