Anaesthesiology & Critical Care Department in NSCB Subharti Medical College, Meerut (UP), India.
Dent Traumatol. 2010 Feb;26(1):90-3. doi: 10.1111/j.1600-9657.2009.00850.x.
Panfacial fractures present a unique set of problems to the anaesthesiologist and surgeon. Airway management in panfacial fractures is still a challenge to the anaesthesiologist as all modalities available such as orotracheal intubation, nasotracheal intubation, tracheostomy, etc., have their own advantages and disadvantages. When all the conventional modalities to secure airway seem unsuitable then submental route offers an excellent alternative to manage airway in such patients. Here we describe our experience with submental intubation technique in 10 patients with panfacial injuries over a period of two years.
面中部骨折给麻醉师和外科医生带来了一系列独特的问题。对于麻醉师来说,面中部骨折的气道管理仍然是一个挑战,因为所有可用的方法,如经口气管插管、经鼻气管插管、气管切开术等,都有其自身的优缺点。当所有常规的气道保障方法似乎都不适用时,颏下入路为这类患者提供了一种管理气道的极佳替代方法。在此,我们描述了我们在两年时间里用颏下入路技术为 10 例面中部损伤患者进行气管插管的经验。