Injury to the Submandibular Duct and Secondary Fibrosis Causing Sialocele: An Unusual Complication of Submental Intubation

Nidhi Bhatia1, Tarush Gupta2, Sourabha Patro3, S. P. S. Aswin Ram1, Dias Queenie Valerian2, Kajal Jain1
1Department of Anaesthesia, PGIMER, Chandigarh, India
2Department of Plastic Surgery, PGIMER, Chandigarh, India
3Department of Otolaryngology, PGIMER, Chandigarh, India

Tóm tắt

Maxillofacial fractures with the nasal/skull base fractures may preclude nasotracheal intubation, and oro-tracheal intubation may obstruct surgical access. In these cases, submental intubation is a safe and well-accepted alternative, associated with low morbidity and complication rate. We report a case of one such rare complication, wherein following submental intubation, the patient presented with a sublingual sialocele, associated with dilatation of the submandibular duct with surrounding fibrosis. The secondary sublingual sialocele we encountered could have been due to errors in the technique of submental intubation. Hence, thorough knowledge of the submental and submandibular region's anatomy is important to avoid complications.

Tài liệu tham khảo

Callahan N, Licht S, Houle A (2022) submandibular gland sialocele: a rare complication following open treatment of mandibular fracture. Craniomaxillofac Res Innov 7:1–5. https://doi.org/10.1177/27528464221084175