Submental intubation is an interesting alternative when short-term postoperative control of airway is desirable with the presence of undisturbed access to oral as well as nasal airways and good dental occlusion in maxillofacial trauma and also in assessment of nasolabial complex during elective orthognathic surgeries. Submental intubation with paramedian approach has been used in 60 cases from September 2009 to December 2015 in the Department of oral and maxillofacial surgery. Of 60 patients, 30 patients who had midfacial fractures at the Lefort II, a displaced nasal bone fracture and 30 patients who underwent elective orthognathic surgery were selected. After standard orotracheal intubation, paramedial skin incision was placed in the submental region and passage was created by blunt dissection from the submental region in to the floor of the mouth. The proximal end of the orotracheal tube was pulled through the floor of the mouth with a haemostatic clamp in to the submental area and stabilized with 1-0 silk sutures. At the end of the surgery, the tube was pulled back to the usual oral route. There were no peri-operative complications related to the procedure. Average duration of the procedure was around 7 minutes. Submental intubation is a simple technique associated with low rates of morbidity. It is an attractive alternative for maintenance of airway not only in the surgical management of maxillofacial trauma but also in elective orthognathic surgeries.