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Submental Orotracheal Intubation for an Upper Lip Haemangioma — A Case Report

ABSTRACT:

Sir Hernandez Altemir had described in 1986 that submental intubation is a useful technique as an alternative to tracheostomy in selected patients allowing undisturbed access to oral and nasal airways and with a good dental occlusion. We report a case of haemangioma right upper lip extending to the right nasolabial region for which submental orotracheal intubation was done. This is a rare indication in contrast to the usual indication of submental intubation for complex craniomaxillofacial trauma cases. The submental approach for intubation allowed an unhindered surgical approach and ease of maintaining the airway thereby avoiding the need for tracheostomy.

KEYWORDS – haemangioma, alternative to tracheostomy, submental intubation

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Journal Authors

1 A.Rathna , 2 K.Gunasekaran , 3 R.V.M.Surya Rao , 4 D.Alagar Raja

1 Professor, 2 Associate Professor, Department of Anaesthesiology, Saveetha Medical College Hospital, Chennai

3 Assistant Professor, 4 Assistant Professor, Department of Plastic Surgery, Saveetha Medical College Hospital.

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