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Current Oral Health Reports

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22-03-2024 | Tracheostomy

Pathways to Airways: Review and Considerations of Different Intubation Techniques in Oral and Maxillofacial Surgery

Authors: Kalyani Bhate, Sayali A Awate, Dharmesh C Gandhi, Uday Londhe, Sunnypriyatham Tirupathi, Bhushan Bhagat

Published in: Current Oral Health Reports | Issue 2/2024

Abstract

Purpose of Review

The aim of this work is to review and enlist the variations of intubations required in complex maxillofacial surgeries where temporary maxillomandibular fixation is essential.

Recent Findings

Most of the major maxillofacial trauma cases are operated under general anaesthesia. In these cases, both the anaesthetist and maxillofacial surgeon compete for the same area that is oral cavity. Routinely oral intubation is used in anaesthesia, but in maxillofacial surgical cases, there is a possibility of oro-endotracheal tube interfering with the sterile field of surgery as well as it causes inconvenience while working in the oral cavity. Modifications in intubation techniques for anaesthesia are important in complex maxillofacial surgeries.

Summary

In complex maxillofacial surgeries fibreoptic, submental, transmylohyoid and retromolar intubation are available techniques where interim maxillomandibular fixation is essential for the reduction of fracture. Of all these techniques, the fibreoptic technique is preferred as it is the most reliable of all techniques. In the case of pan-facial trauma, maxillomandibular fixation is required and interference of tube cannot afford trans mylohyoid and submental can be used as a potential alternative.

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Title: Pathways to Airways: Review and Considerations of Different Intubation Techniques in Oral and Maxillofacial Surgery
Authors: Kalyani Bhate
Sayali A Awate
Dharmesh C Gandhi
Uday Londhe
Sunnypriyatham Tirupathi
Bhushan Bhagat
Publication date: 22-03-2024
Publisher: Springer International Publishing
Keywords: Tracheostomy
Nasal Bone Fracture
Fracture of the Nasal Bone
Published in: Current Oral Health Reports / Issue 2/2024
Electronic ISSN: 2196-3002
DOI: https://doi.org/10.1007/s40496-024-00373-4

At a glance: The STEP trials

Springer Medicine

Pathways to Airways: Review and Considerations of Different Intubation Techniques in Oral and Maxillofacial Surgery

Abstract

Purpose of Review

Recent Findings

Summary

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose of Review

Recent Findings

Summary

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