DOI: 10.36347/sjmcr.2020.v08i09.016

Pages: 868-870

Maxillofacial trauma is frequent and affects a young population. The upper airway intubation technique for intraoperative ventilation is problematic in patients with a fracture of the ethmino-nasal axis associated with a maxillary fracture with occlusal impact. In fact, orotracheal intubation does not allow control of occlusion and the nasotracheal route causes reduction of centro-facial fractures. In these cases, the tracheostomy or Submental intubation (ISM) is a ventilation modality to consider. However, a tracheostomy has a high potential complication rate and in many patients an alternative to oral airways is not needed beyond the perioperative period. Which makes sub-mental intubation an excellent alternative to operate on this type of patient.