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THE FREQUENCY OF OROCUTANEOUS FISTULA AFTER SUBMENTAL INTUBATION IN PANFACIAL TRAUMA PATIENTS

Dr. Neeta Kumari, Dr. Muhammad Muzamil, Dr. Seema Naz, Dr. Kelash Kumar

Objective: To determine the frequency of orocutaneous fistula after submental intubation in panfacial trauma patients. Design: Descriptive Case Series Study. Subject and Methods: A total of 135 patients with panfacial trauma were selected for this study. Surgery was performed and at the end of the surgery, the maxillomandibular fixation was released and the endotracheal tube was pulled back intra orally to convert sub mental intubation to oral intubation. The patients were followed up after 1 week and stitches were removed. The patients then were assessed for orocutaneous fistula 1 month postoperatively. All data was recorded in the proforma. Results: The mean age of the patients was 35.66±8.62 years. Frequency of orocutaneous fistula after submental intubation in panfacial trauma patients was observed in 24.44%. Conclusion: Orocutaneous fistula is common complication after submental intubation in panfacial trauma patients. The patients who are contraindicated to nasotracheal intubation, in those patients submental intubation is a safe procedure for intraoperative airway control in maxillofacial trauma. It enables for the operative correction of occlusion and surgery for associated nasal fracture, and in the event of concomitant skull base trauma, moreover it avoids the risk associated with classical nasotracheal intubation. Key Words: Orocutaneous fistula, Submental intubation, Panfacial trauma.

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