Comparison of two point versus one point fixation techniques in submentotracheal intubation during craniomaxillofacial surgeries—a pilot study

Abstract

Background and objectives: Airway management in the craniomaxillofacial trauma surgery may require some modifications of the standard intubation techniques. Submental endotracheal intubation may serve as an effective and safe alternative route in these conditions. In standard technique of submentotracheal intubation, the tube is fixed extra orally at the submental incision site with sutures to prevent displacement of the tube during the surgical intervention. But still it leaves a possibility of accidental extubation during the conversion of orotracheal to submental route and vice versa.