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

Springer Science and Business Media LLC - Trang 1-3 - 2022
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

Paetkau DJ, Stranc MF, Ong BY (2000) Submental orotracheal intubation for maxillofacial surgery. Anesthesiology 92:912

Amin M, Dill-Russell P, Manisali M, Lee R, Sinton I (2002) Facial fractures and submental tracheal intubation. Anaesthesia 57:1195–1199

Muzzi DA, Losasso TJ, Cucchiara RF (1991) Complication from a nasopharyngeal airway in a patient with a basilar skull fracture. Anesthesiology 74:366–368

Goodisson DW, Shaw GM, Snape L (2001) Intracranial intubation in patients with maxillofacial injuries associated with base of skull fractures? J Trauma 50:363–366

Saravanan P, Arrowsmith JE (2005) Retrograde submental intubation after faciomaxillary trauma. Anesth Analg 101:1892–1893

Das S, Das TP, Ghosh PS (2012) Submental intubation: a journey over the last 25 years. J Anaesthesiol Clin Pharmacol 28:291–303

Junior JM, Kluppel LE, Pereira Stabile CL, Vitti Stabile GA (2012) Submental endotracheal intubation as an alternative to tracheostomy in selected cases of facial fracture: literature review and technique report. Ulus Travma Acil Cerrahi Derg 18:545–548

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

Oshima N, Shiraishi T, Kawauchi T, Oba J, Sato D, Fujiki M et al (2018) A simple and reliable submental intubation technique for maxillofacial fractures. J Craniofac Surg 29:1952–1955

MacInnis E, Baig M (1999) A modified submental approach for oral endotracheal intubation. Int J Oral Maxillofac Surg 28:344–346

Schutz P, Hamed HH (2008) Submental intubation versus tracheostomy in maxillofacial trauma patients. J Oral Maxillofac Surg 66:1404–1409

Thông tin
Thông tin xuất bản

Springer Science and Business Media LLC

1-3

Thông tin tác giả