Submental intubation for orthognathic surgery in a patient with a history of pharyngeal flap construction: A case report

Takayuki Isatsu; Yoshikazu Kobayashi; Yu Sekimoto; Min Jung Kim; Takako Aizawa; Mitsuyoshi Yoshida

doi:10.1002/osi2.1215

Submental intubation for orthognathic surgery in a patient with a history of pharyngeal flap construction: A case report

Takayuki Isatsu, Yoshikazu Kobayashi, Yu Sekimoto, Min Jung Kim, Takako Aizawa, Mitsuyoshi Yoshida

Dentistry and Oral-Maxillofacial Surgery

Research output: Contribution to journal › Article › peer-review

Abstract

Background: Submental intubation is an airway management technique wherein an endotracheal tube is guided through incisions in the floor of the mouth and the submental skin after normal orotracheal intubation. Case presentation: A 20-year-old man with a history of pharyngeal flap construction for a cleft palate was planned for orthognathic surgery. Preoperative nasopharyngoscopy showed that the space lateral to the flap was too narrow for nasotracheal intubation; then submental intubation was performed. No intra- or postoperative complications were observed. Conclusion: Submental intubation is a useful alternative to tracheotomy in patients with difficulty in nasotracheal intubation during surgeries requiring occlusal confirmation.

Original language	English
Pages (from-to)	298-303
Number of pages	6
Journal	Oral Science International
Volume	21
Issue number	2
DOIs	https://doi.org/10.1002/osi2.1215
Publication status	Published - 05-2024

All Science Journal Classification (ASJC) codes

Otorhinolaryngology

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10.1002/osi2.1215

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title = "Submental intubation for orthognathic surgery in a patient with a history of pharyngeal flap construction: A case report",

abstract = "Background: Submental intubation is an airway management technique wherein an endotracheal tube is guided through incisions in the floor of the mouth and the submental skin after normal orotracheal intubation. Case presentation: A 20-year-old man with a history of pharyngeal flap construction for a cleft palate was planned for orthognathic surgery. Preoperative nasopharyngoscopy showed that the space lateral to the flap was too narrow for nasotracheal intubation; then submental intubation was performed. No intra- or postoperative complications were observed. Conclusion: Submental intubation is a useful alternative to tracheotomy in patients with difficulty in nasotracheal intubation during surgeries requiring occlusal confirmation.",

author = "Takayuki Isatsu and Yoshikazu Kobayashi and Yu Sekimoto and Kim, {Min Jung} and Takako Aizawa and Mitsuyoshi Yoshida",

note = "Publisher Copyright: {\textcopyright} 2023 The Authors. Oral Science International published by John Wiley & Sons Australia, Ltd on behalf of Japanese Stomatological Society.",

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T1 - Submental intubation for orthognathic surgery in a patient with a history of pharyngeal flap construction

T2 - A case report

AU - Isatsu, Takayuki

AU - Kobayashi, Yoshikazu

AU - Sekimoto, Yu

AU - Kim, Min Jung

AU - Aizawa, Takako

AU - Yoshida, Mitsuyoshi

PY - 2024/5

Y1 - 2024/5

N2 - Background: Submental intubation is an airway management technique wherein an endotracheal tube is guided through incisions in the floor of the mouth and the submental skin after normal orotracheal intubation. Case presentation: A 20-year-old man with a history of pharyngeal flap construction for a cleft palate was planned for orthognathic surgery. Preoperative nasopharyngoscopy showed that the space lateral to the flap was too narrow for nasotracheal intubation; then submental intubation was performed. No intra- or postoperative complications were observed. Conclusion: Submental intubation is a useful alternative to tracheotomy in patients with difficulty in nasotracheal intubation during surgeries requiring occlusal confirmation.

AB - Background: Submental intubation is an airway management technique wherein an endotracheal tube is guided through incisions in the floor of the mouth and the submental skin after normal orotracheal intubation. Case presentation: A 20-year-old man with a history of pharyngeal flap construction for a cleft palate was planned for orthognathic surgery. Preoperative nasopharyngoscopy showed that the space lateral to the flap was too narrow for nasotracheal intubation; then submental intubation was performed. No intra- or postoperative complications were observed. Conclusion: Submental intubation is a useful alternative to tracheotomy in patients with difficulty in nasotracheal intubation during surgeries requiring occlusal confirmation.

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Submental intubation for orthognathic surgery in a patient with a history of pharyngeal flap construction: A case report

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