Submental intubation using laparoscopic trocar in zygomaticomaxillary complex fracture surgery in Korea: a case report
Submental intubation is an effective alternative technique for airway management in patients with maxillofacial trauma. Compared with tracheostomy, it is less invasive, but has risks associated with potential airway compromise such as hypoxia due to tube obstruction, collapse, and kinking. To shorte...
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| Format: | Article |
| Language: | English |
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Korean Society of Traumatology
2023-06-01
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| Series: | Journal of Trauma and Injury |
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| Online Access: | http://jtraumainj.org/upload/pdf/jti-2022-0036.pdf |
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| author | Hyejin Do Chunui Lee Hyeon Don Hong Hyejin Hong Hyun Kyo Lim Sujin Kim |
| author_facet | Hyejin Do Chunui Lee Hyeon Don Hong Hyejin Hong Hyun Kyo Lim Sujin Kim |
| author_sort | Hyejin Do |
| collection | DOAJ |
| description | Submental intubation is an effective alternative technique for airway management in patients with maxillofacial trauma. Compared with tracheostomy, it is less invasive, but has risks associated with potential airway compromise such as hypoxia due to tube obstruction, collapse, and kinking. To shorten procedure time and ensure a reinforced tube lumen, we used a laparoscopic trocar as a new device for submental intubation. A 54-year-old male patient sustained a zygomaticomaxillary complex fracture and was scheduled to undergo open reduction and internal fixation. We performed intraoral intubation and made a small 1-cm incision at the submandibular midline. After dissection of the tissue from the incision site, a reinforced tube was passed using a 12-mm laparoscopic trocar. The procedure took about 5 minutes, and apnea time from disconnecting the breathing circuit and passing through the internal lumen of the trocar until it was reconnected to the ventilator was 1 minute 5 seconds. Using a laparoscopic trocar for submental intubation can reduce the time required for dissection, prevent luminal occlusion complications due to soft tissues or blood clots in the endotracheal tube, and decrease soft tissue damage. |
| format | Article |
| id | doaj-art-3c08f7b3913242008d466779bef5dc25 |
| institution | Kabale University |
| issn | 2799-4317 2287-1683 |
| language | English |
| publishDate | 2023-06-01 |
| publisher | Korean Society of Traumatology |
| record_format | Article |
| series | Journal of Trauma and Injury |
| spelling | doaj-art-3c08f7b3913242008d466779bef5dc252025-01-16T05:39:48ZengKorean Society of TraumatologyJournal of Trauma and Injury2799-43172287-16832023-06-0136212813210.20408/jti.2022.00361234Submental intubation using laparoscopic trocar in zygomaticomaxillary complex fracture surgery in Korea: a case reportHyejin Do0Chunui Lee1Hyeon Don Hong2Hyejin Hong3Hyun Kyo Lim4Sujin Kim5 Department of Anesthesiology and Pain Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea Department of Oral and Maxillofacial Surgery, Yonsei University Wonju College of Medicine, Wonju, Korea Department of Anesthesiology and Pain Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea Department of Anesthesiology and Pain Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea Department of Anesthesiology and Pain Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea Department of Anesthesiology and Pain Medicine, Yonsei University Wonju College of Medicine, Wonju, KoreaSubmental intubation is an effective alternative technique for airway management in patients with maxillofacial trauma. Compared with tracheostomy, it is less invasive, but has risks associated with potential airway compromise such as hypoxia due to tube obstruction, collapse, and kinking. To shorten procedure time and ensure a reinforced tube lumen, we used a laparoscopic trocar as a new device for submental intubation. A 54-year-old male patient sustained a zygomaticomaxillary complex fracture and was scheduled to undergo open reduction and internal fixation. We performed intraoral intubation and made a small 1-cm incision at the submandibular midline. After dissection of the tissue from the incision site, a reinforced tube was passed using a 12-mm laparoscopic trocar. The procedure took about 5 minutes, and apnea time from disconnecting the breathing circuit and passing through the internal lumen of the trocar until it was reconnected to the ventilator was 1 minute 5 seconds. Using a laparoscopic trocar for submental intubation can reduce the time required for dissection, prevent luminal occlusion complications due to soft tissues or blood clots in the endotracheal tube, and decrease soft tissue damage.http://jtraumainj.org/upload/pdf/jti-2022-0036.pdfairway managementmaxillofacial injuriesintratracheal intubationsurgical instrumentscase reports |
| spellingShingle | Hyejin Do Chunui Lee Hyeon Don Hong Hyejin Hong Hyun Kyo Lim Sujin Kim Submental intubation using laparoscopic trocar in zygomaticomaxillary complex fracture surgery in Korea: a case report Journal of Trauma and Injury airway management maxillofacial injuries intratracheal intubation surgical instruments case reports |
| title | Submental intubation using laparoscopic trocar in zygomaticomaxillary complex fracture surgery in Korea: a case report |
| title_full | Submental intubation using laparoscopic trocar in zygomaticomaxillary complex fracture surgery in Korea: a case report |
| title_fullStr | Submental intubation using laparoscopic trocar in zygomaticomaxillary complex fracture surgery in Korea: a case report |
| title_full_unstemmed | Submental intubation using laparoscopic trocar in zygomaticomaxillary complex fracture surgery in Korea: a case report |
| title_short | Submental intubation using laparoscopic trocar in zygomaticomaxillary complex fracture surgery in Korea: a case report |
| title_sort | submental intubation using laparoscopic trocar in zygomaticomaxillary complex fracture surgery in korea a case report |
| topic | airway management maxillofacial injuries intratracheal intubation surgical instruments case reports |
| url | http://jtraumainj.org/upload/pdf/jti-2022-0036.pdf |
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