A modified submental approach for oral endotracheal intubation.

Hernandez, in 1986, published the first paper on "The submental route for endotracheal intubation". The technique was developed to avoid tracheostomy, particularly in maxillofacial trauma cases, where short-term intermaxillary fixation was required. Gordon & Tolstunov published 2 cases utilizing the technique. Our initial experience with the technique as presented was less than satisfactory. The technique was modified to utilize a strict midline approach. Fifteen cases utilizing this modified technique are reported, including 14 cases of craniomaxillofacial trauma and one complex orthognathic surgery case. There have been no operative or postoperative complications. Postoperative submental scarring has been acceptable.