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KMID : 0353420170410040270
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Oral Biology Research
2017 Volume.41 No. 4 p.270 ~ p.274
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Treatment of panfacial trauma patient via submental intubation: a case report
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Ahn Tae-Woong
Yoo Kil-Hwa
Oh Min-Seok
Park Chul-Min
Yoon Seong-Hoe
Yoon Sun-Woong
Seol Ka-Young
Lee Dong-Keun
Park Young-Ju
Shin Dong-Soo
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Abstract
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Airway management in complex craniomaxillofacial trauma surgery is an important factor, and the choice of the intubation technique is often difficult and challenging. The choice of the intubation technique requires good assessment by the multidisciplinary team that includes maxillofacial surgeons and neurosurgeons as well as good communication between them. Submental intubation is a technique that is maintained extraorally after the conventional orotracheal intubation and the tube is extruded through the incision site in the submental region. It is a useful and safe airway management technique for craniomaxillofacial trauma surgery. It makes it possible to perform reduction of the nasal-orbital-ethmoidal complex fracture, and LeFort I, II, III fractures simultaneously. The aim of this study is to report a case of a craniomaxillofacial trauma patient who had an accompanying periorbital space abscess and treatment was performed by open reduction and internal fixation via submental intubation with a review of literature. After considering the method, complications and indications, we suggest this technique for safe and useful airway management of craniomaxillofacial trauma surgery.
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KEYWORD
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Coronal incision, Free airway, Panfacial trauma, Periorbital space abscess, Submental intubation
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