Submental intubation

Abstract

Submental intubation is a technique which involves glottic intubation of the trachea with the endotracheal tube traversing the pharynx and exiting from the oral cavity via an incision through the floor of the mouth in the submental region. It is an alternative intubation technique that is used in preference to a tracheostomy or nasal intubation in certain cases of shared airway. The main advantage is that the airway is secured, while providing full surgical access to the midface and nasal airway combined with the ability to test dental occlusion. This article provides a succinct review of the technique, its history, anatomy, clinical uses and complications. © 2010 Rila Publications Ltd.