World Journal of Dentistry

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VOLUME 8 , ISSUE 5 ( September-October, 2017 ) > List of Articles

CASE REPORT

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: 01-10-2017

Copyright Statement:  Copyright © 2017; The Author(s).


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.


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