Schütz Petr, Hamed Hussein H
Oral and Maxillofacial Surgery Unit, Al-Adan Dental Center and the Oral and Maxillofacial Surgery Department, Ministry of Health, State of Kuwait.
J Oral Maxillofac Surg. 2008 Jul;66(7):1404-9. doi: 10.1016/j.joms.2007.12.027.
To evaluate the indications and outcomes of airway management by submental intubation or tracheostomy in patients with maxillofacial trauma, and to describe the technique of submental intubation in detail and discuss its latest refinements.
Of 356 patients admitted from January 2004 through September 2007 with maxillofacial trauma, 222 were operated on under general anesthesia. Eight patients underwent urgent or elective tracheostomy; 8 patients underwent submental intubation.
Seven patients with submental intubation were extubated at the end of the procedure. One patient received elective tracheostomy 3 days later. We did not encounter any complications in the tracheostomy group, while 1 case of slight damage to the endotracheal tube occurred in the submental intubation group.
Submental endotracheal intubation is a simple technique with very low morbidity and can replace tracheostomy in selected cases of maxillofacial trauma without indication for prolonged ventilation support.
评估颏下插管或气管切开术在颌面部创伤患者气道管理中的适应证及效果，并详细描述颏下插管技术并讨论其最新改进方法。
2004年1月至2007年9月收治的356例颌面部创伤患者中，222例在全身麻醉下接受手术。8例行紧急或择期气管切开术；8例行颏下插管术。
7例颏下插管患者在手术结束时拔管。1例患者在3天后接受了择期气管切开术。气管切开术组未出现任何并发症，而颏下插管组发生1例气管内导管轻微损伤。
颏下气管插管是一种简单技术，发病率极低，在无延长通气支持指征的特定颌面部创伤病例中可替代气管切开术。
