Orotracheal intubation with submental diversion in the treatment of midface fractures
Keywords:
artificial respiration, intratracheal intubation, tracheotomy, wounds and injuriesAbstract
Introduction: Orotracheal intubation with submental shunt is a useful method to secure the airway in surgery of patients with midface fractures requiring intermaxillary fixation.
Objective: Describe the management of a patient with complex midface fractures using the orotracheal intubation method with submental shunt.
Clinical Case: A 42-year-old male patient presented with complex midline fractures without respiratory distress requiring immediate airway support. On the eighth day of hospitalization, surgical repair of the facial trauma was undertaken. Since intermaxillary fixation was not required for the procedure, and nasal intubation was contraindicated due to the bone deformity, orotracheal intubation with a submental shunt was performed to achieve intraoperative mechanical ventilation. All surgical objectives were met. The patient recovered from the anesthetic and surgical procedures without complications.
Conclusions: The submental shunt orotracheal intubation method is a useful technique in managing the airway of patients with midface trauma, in whom nasal intubation is contraindicated.
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Copyright (c) 2025 Reynier Ramírez Suarez, Yanara Reyna Morales Paz, Guillermo Armas Pedrosa
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