SUBMENTAL INTUBATION - AN AIRWAY OPTION FOR ORAL SUBMUCOUS FIBROSIS RELEASE
Abstract
Abstract : Securing the airway in oral and facio-maxillary
surgeries is a challenging task and is the major component of
intra-op management. Nasotracheal intubation is not always
possible in patients with intra-oral lesions. Trauma and
bleeding are common complications associated with
nasotracheal intubation. Tracheostomy is invasive and is
unnecessary for patients who are not the candidates for
elective post-op ventilation. Many patients hesitate to give
consent for tracheostomy due to the fear of complications like
haemorrhage, tracheal stenosis, loss of speech etc.
Submental intubation is a newer technique that helps in
avoiding potential complications associated with nasotracheal
intubation and tracheostomy and also provides an
unobstructed surgical field. Oral Submucous Fibrosis (OSF) is
a chronic, irreversible, pre-cancerous condition associated
with betel nut chewing which leads to progressive fibrosis of
submucosal tissues. The main anaesthetic concern with this
condition is progressive restriction of mouth opening due to
fibrosis. We present this case management of a patient with
oral submucous fibrosis with restricted mouth opening posted
for fibrosis release and reconstruction.
Keyword :oral submucous fibrosis, submental intubation
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