Citation Information :
Koushik BB, Singh M, Kumar S, Nagesh S. Various Intubations in Oral and Maxillofacial Surgery: A Prospective Study. 2022; 10 (2):95-99.
Aim The aim of this study was to determine various routes of intubations in patients, based on the type of facio-maxillary procedures planned.
Materials and Methods A prospective study in patients undergoing various oral and maxillofacial procedures between March 2021 and December 2021, who were included in the study based on the inclusion and exclusion criteria.
Statistical Analysis Used Descriptive statistical analysis with SPSS 26 software.
Results Total 33 cases were considered for the study among which it is seen that nasal intubation is the most commonly used route of intubation (n = 23; 69.7%) followed by oral (n = 5; 15.2%), fiberoptic (n = 3; 9.1%), submental (n = 1; 3%), and tracheostomy (n = 1; 3%). Most cases operated were of trauma (n = 19; 57.6%).
Conclusion For better surgical access and visibility, proper selection of route of intubation is necessary given its proximity to the site of surgery. Although nasal route is the most commonly used route in the field of oral and maxillofacial surgery, oral, submental, fiberoptic, and tracheostomy are some of the routes whose application needs to be further researched.
Airway management techniques in head and neck cancer surgeries: a retrospective analysis. Oral Maxillofac Surg 2019;23(03):311–315
Anaesthesia for cosmetic and functional maxillofacial surgery. Brit J Anesth Continuing Edu Anaesth Crit Care Pain 2014;14(01):38–42
Airway management in maxillofacial trauma: do we really need tracheostomy/submental intubation. J Clin Diagn Res 2014;8 (03):77–79
Transmylohyoid orotracheal intubation: case series and review. J Clin Anesth 2012;24(06):460–464
A data review of airway management in patients with oral cavity or oropharyngeal cancer: a single-institution experience. BMC Anesthesiol 2019;19 (01):92
Adult airway evaluation in oral surgery. Oral Maxillofac Surg Clin North Am 2013;25(03): 385–399, vi PMID: 23870147.
Airway management and postoperative length of hospital stay in patients undergoing head and neck cancer surgery. J Anaesthesiol Clin Pharmacol 2016;32(01):49–53
Airway management of patients with temporomandibular joint disorder: a 12- year retrospective review in ABUTH Zaria. Arch Med Surg 2018; 3:56–58
Anesthetic considerations for orthognathic surgery with evaluation of difficult intubation and technique for hypotensive anesthesia. Anesth Prog 2000;47(04):151–156
Anaesthetic implications of temporomandibular joint disease. Can J Anaesth 1992;39(06):610–616
Outcomes of intubation in difficult airways due to head and neck pathology. Ear Nose Throat J 2012;91(03):E1–E5
Fibreoptic and videoscopic indirect intubation techniques for intubation in children. Pediatr Emerg Care 2009;25(07):473–479, quiz 480–482
Retrotuberosity versus submentosubmandibular and median submental intubation: patients with maxillofacial surgery. Oral Surg Oral Med Oral Pathol Oral Radiol 2012;114 (5, Suppl):S209–S215
The emergent surgical airway: cricothyrotomy vs. tracheotomy. Int J Oral Maxillofac Surg 2013;42(02):204–208
