颌面部创伤患者的颏下插管与气管切开术对比

Submental intubation versus tracheostomy in maxillofacial trauma patients.

作者信息

Schütz Petr, Hamed Hussein H

机构信息

Oral and Maxillofacial Surgery Unit, Al-Adan Dental Center and the Oral and Maxillofacial Surgery Department, Ministry of Health, State of Kuwait.

出版信息

J Oral Maxillofac Surg. 2008 Jul;66(7):1404-9. doi: 10.1016/j.joms.2007.12.027.

DOI:10.1016/j.joms.2007.12.027

PMID:18571024

Abstract

PURPOSE

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.

PATIENTS AND METHODS

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.

RESULTS

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.

CONCLUSIONS

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.

摘要