caa a22 4500 445374187 CHVBK 20180317142957.0 cr unu---uuuuu 170323e20111001xx s 000 0 eng 10.1007/s00540-011-1204-6 doi (NATIONALLICENCE)springer-10.1007/s00540-011-1204-6 A new modification for safer submental orotracheal intubation [Elektronische Daten] [Hiroshi Hanamoto, Yoshinari Morimoto, Hitoshi Niwa, Seiji Iida, Tomonao Aikawa] In patients in whom a tracheal tube cannot be inserted through the nostrils due to multiple facial trauma or hypoplasty of the nose, submental orotracheal intubation (SOI) is performed to avoid tracheostomy. We report a new modification for SOI to minimize the risk of apnea. A 20-year-old man was scheduled for sagittal split ramus osteotomy. As the patient had severe hypoplasia of the nose, SOI was planned. Following orotracheal intubation with a spiral tube (first tube), a submental tunnel was surgically created. A second tube that had been confirmed, in advance, to snugly fit into the proximal end of the first tube was passed into the submental tunnel via a polypropylene cylinder and connected between the first tube and the breathing circuit. After careful withdrawal of the second tube through the submental tunnel, the first tube was directly connected to the breathing circuit after removal of the second tube. Although this technique requires additional time, apnea time is minimal even in patients in whom withdrawal of the tracheal tube through the submental tunnel takes time, because the second tube forms a link between the first tube and the breathing circuit, making it possible to ventilate the patient throughout the procedure. Japanese Society of Anesthesiologists, 2011 Submental orotracheal intubation nationallicence Oral and maxillofacial surgery nationallicence Apnea time nationallicence Hanamoto Hiroshi Department of Dental Anesthesiology, Osaka University Graduate School of Dentistry, 1-8 Yamada-Oka, 565-0871, Suita, Osaka, Japan aut Morimoto Yoshinari Department of Dental Anesthesiology, Osaka University Graduate School of Dentistry, 1-8 Yamada-Oka, 565-0871, Suita, Osaka, Japan aut Niwa Hitoshi Department of Dental Anesthesiology, Osaka University Graduate School of Dentistry, 1-8 Yamada-Oka, 565-0871, Suita, Osaka, Japan aut Iida Seiji Department of Oral and Maxillofacial Reconstructive Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, 2-5-1 Shikata-Cho, Kita-Ku, 700-8558, Okayama, Japan aut Aikawa Tomonao The First Department of Oral and Maxillofacial Surgery, Osaka University Graduate School of Dentistry, 1-8 Yamada-Oka, 565-0871, Suita, Osaka, Japan aut Journal of Anesthesia Springer Japan 25/5(2011-10-01), 781-783 0913-8668 25:5<781 2011 25 540 https://doi.org/10.1007/s00540-011-1204-6 text/html Onlinezugriff via DOI 1 brief-communication jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00540-011-1204-6 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Hanamoto Hiroshi Department of Dental Anesthesiology, Osaka University Graduate School of Dentistry, 1-8 Yamada-Oka, 565-0871, Suita, Osaka, Japan aut NATIONALLICENCE 700 1- Morimoto Yoshinari Department of Dental Anesthesiology, Osaka University Graduate School of Dentistry, 1-8 Yamada-Oka, 565-0871, Suita, Osaka, Japan aut NATIONALLICENCE 700 1- Niwa Hitoshi Department of Dental Anesthesiology, Osaka University Graduate School of Dentistry, 1-8 Yamada-Oka, 565-0871, Suita, Osaka, Japan aut NATIONALLICENCE 700 1- Iida Seiji Department of Oral and Maxillofacial Reconstructive Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, 2-5-1 Shikata-Cho, Kita-Ku, 700-8558, Okayama, Japan aut NATIONALLICENCE 700 1- Aikawa Tomonao The First Department of Oral and Maxillofacial Surgery, Osaka University Graduate School of Dentistry, 1-8 Yamada-Oka, 565-0871, Suita, Osaka, Japan aut NATIONALLICENCE 773 0- Journal of Anesthesia Springer Japan 25/5(2011-10-01), 781-783 0913-8668 25:5<781 2011 25 540 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer