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Volume 9- No. 8 2021

Educated Hand Publishing LLC 
“The Science Behind the Art” 
Volume 9 - No.8 2021 

 Anesthesia eJournal - Online
ISSN 2333-2611

Page 15

Submental Intubation for LeFort Type III Fracture 
Ashley Bumatay, BSN, RN 

Affiliation:
Texas Christian University 

Grant/Financial Support: 
None 

KEYWORDS: Submental intubation, oral/maxillofacial fractures, LeFort Type III fracture

Abstract
This case report describes the use of submental intubation for an open reduction internal fixation (ORIF) LeFort 
Type III fracture encountered at Methodist Dallas Medical Center operating room (OR). Other airway management 
options in maxillofacial fractures include nasotracheal intubation or tracheostomy, however, these options come with 
complications and may be contraindicated in certain cases. Submental intubation is an alternative airway route for oral/
maxillofacial surgeries when nasotracheal intubation or tracheostomies are not indicated. While submental intubations 
are low-risk, low-cost, simpler, and faster, it still comes with complications including minimal scarring. No special 
equipment is needed. 

AEJ