Anesth Pain Med > Volume 19(4); 2024 > Article |
|
DATA AVAILABILITY STATEMENT
The datasets generated during and/or analyzed during the current study are available from the corresponding author on reasonable request.
AUTHOR CONTRIBUTIONS
Writing - original draft: Kyung Nam Park. Writing - review & editing: Myong-Hwan Karm. Conceptualization: Kyung Nam Park, Myong-Hwan Karm. Data curation: Kyung Nam Park, Myong-Hwan Karm. Formal analysis: Kyung Nam Park, Myong-Hwan Karm. Methodology: Kyung Nam Park, Myong-Hwan Karm. Project administration: Myong-Hwan Karm. Visualization: KN Park, Myong-Hwan Karm. Investigation: Myong-Hwan Karm. Resources: Myong-Hwan Karm. Software: Kyung Nam Park, Myong-Hwan Karm. Supervision: Myong-Hwan Karm. Validation: Myong-Hwan Karm.
Author | Year | Patients | Number of patients | Techniques used | Reported complications |
---|---|---|---|---|---|
Altemir [1] | 1986 | N/A | N/A | Using a curved hemostat to dissect structures at the paramedian site, the one-tube technique is performed, and a nasal speculum is used to secure the submental route. | None |
Green et al. [6] | 1996 | Extensive facial fracture, Skull base fracture | 1 | Perform oral intubation with the first endotracheal tube, and then insert the second reinforced tracheal tube intraorally through the submental incision, replacing the existing oral tube. | None |
Maclnnis et al. [8] | 1999 | Craniomaxillofacial trauma, orthognathic surgery | 15 | To reduce bleeding and minimize damage to structures, use a midline approach behind Wharton's duct. | None |
Altemir et al. [9] | 2000 | Maxillary, alveolar and nasal fractures | 3 | LMA used instead of ETT. | N/A |
Nwoku et al. [10] | 2002 | Panfacial fracture, Orthognathic surgery | 10 | Perform modified submental intubation by making a laterosubmental incision in the submandibular region. | None |
Altemir et al. [11] | 2003 | Severe maxillofacial trauma | 2 | Combitube® used instead of ETT. | None |
Lim et al. [12] | 2003 | Multiple facial bone fractures | 1 | Insert the pilot balloon and the proximal end of the endotracheal tube, disconnected from the tube connector, into the blue cap of a 33Fr thoracic catheter, and pass it through the submental tunnel. | None |
Yoon et al. [13] | 2004 | Multiple facial bone fractures | 1 | Use a 20 G needle connector to attach a new pilot balloon to the endotracheal tube with the detached balloon. | None |
Kim et al. [14] | 2005 | Panfacial fracture | 2 | Wire-reinforced tube (LMA-Fastrach™) used instead of conventional ETT. | None |
Taglialatela et al. [15] | 2006 | Panfacial injuries | 107 | Create a passage in the anterior submandibular area for intubation and coined the term “Submento-submandibular intubation.” | Suppuration in the cutaneous wound (11), salivary fistula (8), reintubation due to the cuff of the second tube breaking (6) |
Nyárády et al. [16] | 2006 | Elective orthognathic cases | 8 | A sterile nylon guiding tube and the ‘222 rule’ incision were used. | None |
Biswas et al. [17] | 2006 | N/A | 2 | Percutaneous dilatational tracheostomy kit (dilator) for submental tunneling. | N/A |
Lima et al. [18] | 2011 | Maxillofacial injuries | 15 | Cover the distal end of the tube with the finger portion of a surgical glove and pass it through the submental tunnel. | None |
Saheb et al. [19] | 2014 | Major craniomaxillofacial fractures | 4 | Seldinger’s technique with a percutaneous dilatational tracheostomy kit for submental tunneling. | None |
Kita et al. [20] | 2016 | Maxillofacial fractures | 25 | Passing the endotracheal tube through a silicone tube involves inserting the endotracheal tube into the lumen of a silicone tube and advancing it through the desired pathway or tunnel. | Dislodged into the right main bronchus (1), skin infections (2) |
Ujam et al. [21] | 2017 | Midface injuries | 1 | Use the Blue Rhino® device from the percutaneous tracheostomy set to perform submental tunnel dilation and pass the ETT through. | None |
Oshima et al. [22] | 2018 | Panfacial fractures | 7 | Passing through a single submental tunnel using 2-0 silk suture and 2 forceps. | Erroneous passage (1) |
Jung et al. [23] | 2020 | Fractures of the zygomaticomaxillary, zygomatic arch, and right inferior orbital floor | 1 | Perform submental tunneling using the 12-mm diameter lumen of a laparoscopic trocar and pass the endotracheal tube through the trocar's lumen. | None |
Yun et al. [24] | 2020 | Lefort I fracture, Lefort II fracture, infraorbital wall fracture, maxillary anterior alveolar fracture, and sinus anterior wall fracture | 1 | Use the Sani-sleeve™ (SDCCD) to pass the tube through the tunnel. | None |
Jacob et al. [4] | 2020 | N/A | 1 | Reinforced ETT where the connector cannot be detached, involving excising the connector with a scalpel and replacing it with a smaller connector. | None |
Silveira et al. [25] | 2020 | N/A | N/A | Use a conical punch device, coupled cylinder pliers, tongue retractor, and drilling guide. | None |
Jeon et al. [26] | 2022 | 1. Le Fort II fracture, nasoethmoidal fracture, orbital wall fracture, mandible fracture, and basal skull fracture | 13 | 1. Disconnect the endotracheal tube connector and connect it to a nelaton catheter to pass through the submental tunnel. | Separation of nelaton tube (1), broken suction connector (1), dual submental routes (1), damaged soft tissue (N/A) |
2. Panfacial fracture | 2. Separate the connector and connect a suction connector to the proximal end of the tube to pass through the tunnel. | ||||
3. Panfacial fracture | 3. Fix a dental needle cap with Ioban on the proximal end of the tube after disconnecting the connector and use a hemostat in the submental area to pull and secure the needle cap through the tunnel. | ||||
4. Panfacial fracture with traumatic subarachnoid hemorrhage | 4. Use a nasal speculum in the submental tunnel to widen the passage. | ||||
5. Panfacial fracture with traumatic subdural hemorrhage | 5. Perform submental tunneling using a laparoscopic trocar. | ||||
Bihani et al. [28] | 2023 | Panfacial trauma | 10 | Ultrasonography-guided Seldinger technique for submental tunneling. | Minor bleeding (1) |
Barik et al. [29] | 2024 | Panfacial injury | 1 | Seldinger’s technique with Griggs forceps used, instead of a dilator, to dilate the oro-cutaneous tract. | None |
Troise et al. [30] | 2024 | Complex maxillofacial trauma | 21 | The pilot balloon is not brought out into the submental area; only the tube is extracted using this technique. | Oral floor infection (1), unaesthetic skin scar (1) |
Kiran et al. [31] | 2024 | Panfacial fractures | 1 | Preventing pilot balloon blockage by using an intravenous cannula cap or adhesive plaster to cover the deflated pilot balloon tip before exteriorization. | None |
Oda et al. [32] | 2024 | Sturge-Weber syndrome | 1 | Tip of the tube was wrapped with a sterilized echo probe and secured with a rubber band before passing it through the submental tunnel. | None |