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Case Reports in Anesthesiology
Volume 2012, Article ID 841051, 3 pages
Case Report

Submental Intubation Including Extubation: Airway Complications of Maxillomandibular Fixation

1Department of Oral and Maxillofacial Surgery, Chitwan Medical College, P.O. Box 42, Bharatpur-10, Chitwan, Nepal
2Department of Anesthesiology, Chitwan Medical College, P.O. Box 42, Bharatpur-10, Chitwan, Nepal

Received 13 November 2012; Accepted 28 November 2012

Academic Editors: R. Riley and D. A. Story

Copyright © 2012 Santosh Kumar Yadav and Gopendra Deo. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Hernandez first described the submental route for endotracheal intubation in 1986 as an alternative airway maneuver for maxillofacial procedures. Since that time, several case studies have been performed demonstrating the efficacy of the submental approach. This method was recently implemented in the case of a patient with altered nasal anatomy who sustained a mandibular fracture necessitating maxillomandibular fixation. Unlike most of the cases described in the literature, this patient’s operative course was confounded by the need to extubate through the submental tunnel. The patient tolerated the procedure well and was able to avoid other forms of surgical airway.