A complication of submandibular intubation in panfacial fracture patient.
Submental endotracheal intubation: an alternative to tracheostomy in patients with midfacial and panfacial fractures. J Trauma 2000;48:235-40.
Distribution of bone fractures by structures was 661 mandibular fractures (52.2%), 408 zygoma fractures (32.2%), 217 maxillary fractures (17.1%), 107 orbital fractures (8.4%), 50 nasal fractures (3.9%), 38 frontal sinus fractures (3%), 36 panfacial fractures
(2.8%), and 33 nasoorbitoethmoid fractures (2.6%).
(6) It can be safely used in patients with midfacial or panfacial fractures with base of skull fractures as well as in patients undergoing elective Le Fort osteotomies or simultaneous elective mandibular orthognathic surgery and rhinoplasty procedure.
Intraoperative airway management with panfacial fractures: alternative approaches.
After addressing etiology and epidemiology, emergency management, and examination, they provide color photos, radiographic images, and descriptions of various injuries, such as mandibular and nasal fractures, soft tissue and ophthalmic injuries, and panfacial fractures
, as well as intensive/care therapy and pediatric trauma.
SMI provides a secure airway and allows unfettered surgical access for repair of complex panfacial fractures.
Panfacial fractures necessitate surgical maneuvers to restore the premorbid occlusion through intermaxillary fixation, as well as the freedom to manipulate the maxilla and reconstruct the midfacial anatomy.
INTRODUCTION: Panfacial fractures involve the skull base, nose, maxilla and mandible.
This route was more comfortable for the surgeons as they have enough space for reduction and fixation of midfacial and panfacial fractures. (3) The main complication of this procedure is partial dislodgement of submental tube down into right main bronchus.
Submental endotracheal intubation: an alternative to tracheotomy in patients with midfacial and panfacial fractures
. J Trauma 2000; 48: 235-40.
are often associated with soft tissue injuries and loss of bony structures that can lead to severe posttraumatic deformities and disabilities like malocclusion, "dish" face deformity, enophthalmos18.Out of 64 patients of panfacial trauma in our series, 43 patients (67%) were treated by ORIF and 15 patients (23%) were treated by closed reduction using MMF and suspension wiring.