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CASE REPORT
Year : 2009  |  Volume : 53  |  Issue : 1  |  Page : 84-87

Submandibular Approach for Tracheal Intubation-A Case Report


1 Lecturer, Department of Anaesthesiology, JSS Medical College & Hospital, Mysore - 570004, India
2 Professor & HOD, Department of Anaesthesiology, JSS Medical College & Hospital, Mysore - 570004, India
3 P.G. Student, Department of Anaesthesiology, JSS Medical College & Hospital, Mysore - 570004, India

Correspondence Address:
G Uma
Dept. of Anesthesiology, J.S.S Medical College&Hospital, Ramanuja Road, Agrahara, Mysore 570004
India
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Source of Support: None, Conflict of Interest: None


PMID: 20640085

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Intubating a patient with panfacial fractures is always a challenge to the anaesthesiologist. In a 40-yr-old male patient with left Le Fort's III fracture with nasal bone and symphysis menti fracture, we successfully carried out oral endotracheal intubation which was then modified to submandibular approach to provide adequate surgical field. Initially oral endotracheal intubation was performed, then an incision was made in the submandibular region through which the endotracheal tube was brought out and maintained as submandibular approach throughout the surgery.


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