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Indian Journal of Trauma and Emergency Pediatrics (Formerly Indian Journal of Emergency Pediatrics)

Volume  16, Issue 1-2, January-June 2024, Pages 23-27
 

Case Report

Submental Intubation with Laparoscopic Trocar in Maxillofacial Surgery an Alternative Technique

Sanjay Kumar1, Rajesh Kumar2, Rekha Kumari3, Anil Kumar4, Anurag Kumar5, Majid Anwer6

1-3,5,6Assistant Professor, Department of Trauma Surgery & Critical Care, 4Professor, Department of Aneshtesia, All India Institute of Medical Sciences, Patna 801507, Bihar, India.
 

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DOI: http://dx.doi.org/10.21088/ijtep.2348.9987.16124.3

Abstract

Background: Submental intubation is commonly employed in maxillofacial surgeries as it offers safe, unrestricted access to the surgical field, without the need for a tracheostomy, which carries higher risks and complications. Submental intubation causes obstruction of the endotracheal tube by soft tissues or blood clots. To address this, a laparoscopic trocar can be used to facilitate the procedure. The trocar helps create a clear passage for the tube, minimizing the risk of blockage and enhancing overall procedural efficiency. Case: 35 yeasr-old male weighing 58kg, presented with fractures involving the zygomatico maxillary complex was scheduled to undergo an open reduction and internal fixation. We performed laparoscopic trocar guided submental intubation, which provided sufficient space for endotracheal tube insertion. Unlike conventional methods, the technique avoided the need for blunt dissection, resulting in significantly mimnimum soft tissue damage and reducing the overall time required for the procedure.
 


Keywords : Airway management; Submental intubation; Maxillofacial trauma; Laparoscopic trocar.
Corresponding Author : Sanjay Kumar,