J Korean Assoc Oral Maxillofac Surg 2018; 44(1): 12~17
Airway management through submental derivation: a safe and easily reproduced alternative for patients with complex facial trauma
Fernando González-Magaña, Héctor Omar Malagón-Hidalgo, Eugenio García-Cano, Roberto Vilchis-López, Adriana Fentanes-Vera, Fernan-Alejandra Ayala-Ugalde
Department of Plastic and Reconstructive Surgery, Instituto de Seguridad Social del Estado de México y Municipios (ISSEMyM), Toluca, Mexico
Eugenio García-Cano
Department of Plastic and Reconstructive Surgery, Instituto de Seguridad Social del Estado de México y Municipios (ISSEMyM), Avenida Baja Velocidad #284, Col. San Jerónimo Chicahualco, Metepec, State of Mexico 52170, Mexico
TEL: +52-1-222-2602358
E-mail: eugenio_g_c@hotmail.com
ORCID: http://orcid.org/0000-0003-0959-3132
Received May 16, 2017; Revised July 5, 2017; Accepted July 11, 2017.; Published online February 28, 2018.
© Korean Association of Oral and Maxillofacial Surgeons. All rights reserved.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
 Abstract
Objectives: Airway management in patients with panfacial trauma is complicated. In addition to involving facial lesions, such trauma compromises the airway, and the use of intermaxillary fixation makes it difficult to secure ventilation by usual approaches (nasotracheal or endotracheal intubation). Submental airway derivation is an alternative to tracheostomy and nasotracheal intubation, allowing a permeable airway with minimal complications in complex patients.
Materials and Methods: This is a descriptive, retrospective study based on a review of medical records of all patients with facial trauma from January 2003 to May 2015. In total, 31 patients with complex factures requiring submental airway derivation were included. No complications such as bleeding, infection, vascular, glandular, or nervous lesions were presented in any of the patients.
Results: The use of submental airway derivation is a simple, safe, and easy method to ensure airway management. Moreover, it allows an easier reconstruction.
Conclusion: Based on these results, we concluded that, if the relevant steps are followed, the use of submental intubation in the treatment of patients with complex facial trauma is a safe and effective option.
Keywords: Submental derivation, Complex facial trauma, Safety, Efficacy


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