Abstract
Submental intubation is the preferred type of intubation in patients with complex maxillofacial fractures where oral or nasal intubation cannot be performed. It is also less invasive than tracheostomy in securing the airways. We report a case where an inadvertent strangulation of inflation line of the pilot balloon resulted in inadequate ventilation during submental intubation.
References
Hernandez A. The submental route for endotracheal intubation: a new technique. J Maxillofac Surg. 1986;14:645.
Stranc MF, Skoracki R. A complication of submandibular intubation in a panfacial fracture patient. J Craniomaxillofac Surg. 2001;29:174–6.
Leandro LFL, Guevara HAG, Marinho K, Rivero CS, Lopez MAL. Submental intubation: experience with 30 cases. Rev Esp Cir Oral Maxilofac. 2015;37:132–7.
Marlow TJ, Goltra DD Jr, Schabel SI. Intracranial placement of a nasotracheal tube after facial fracture: a rare complication. J Emerg Med. 1997;15:187–91.
Rhee KJ, Muntz CB, Donald PJ, Yamada JM. Does nasotracheal intubation increase complications in patients with skull base fracture? Ann Emerg Med. 1993;22:1145–7.
Waldron J, Padgham ND, Hurley SE. Complications of emergency and elective tracheostomy: a retrospective study of 150 consecutive cases. Ann R Coll Surg Engl. 1990;72:218–20.
Jundt JS, Cattano D, Hagberg CA, Wilson JW. Submental intubation: a literature reviw. Int J Oral Maxillofac Surg. 2012;41:46–54.
Gilyoma JM, Balumuka DD, Chalya PL. Ten year experiences with tracheostomy at a university teaching hospital in Northwestern Tanzania. Aretrospective review of 214 cases. World J Emerg Surg. 2011;6:38.
Elsemann B, Elsemann M, RIzvi M, Urata MM, Lypka MA. Defining the role for submental intubation. J Clin Anessth. 2014;26:238–42.
Prakash VJ, Chakravarthy C, Attar H. Submenatal/transmylohyoid route for endotracheal intubation in maxillofacial surgical procedures: a review. J Int oral Health. 2014;6:125–8.
Amin M, Dill-Russell P, Manisali M, LEE R, Sinton I. Facial fractures and submental intubation. Anaesthesia. 2002;57:1195–9.
Meyer C, Valfrey J, Kjartansdottir T, Wilk A, Barrière P. Indication for and technical refinements of submental intubation in oral and maxillofacial surgery. J Craniomaxillofac Surg. 2003;31:383–8.
Funding
Not applicable.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
The authors declare that they have no conflict of interest.
Ethical approval
All procedures performed involving human participants were in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.
Informed consent
Informed consent was obtained from the patient for participation and publication of the image (Fig. 1).
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Neha, S., karthick, K.S. Inadvertent strangulation of inflation line of the pilot balloon during submental endotracheal intubation: a rare complication. J Clin Monit Comput 35, 449–451 (2021). https://doi.org/10.1007/s10877-020-00508-9
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10877-020-00508-9