Airway Management in Complex Maxillofacial Trauma: Evaluating the Role of Submental Intubation as a Viable Alternative to Tracheostomy DOI Open Access
Giulio Cirignaco, Gabriele Monarchi, Lisa Catarzi

и другие.

Craniomaxillofacial Trauma & Reconstruction, Год журнала: 2025, Номер 18(1), С. 21 - 21

Опубликована: Март 17, 2025

Airway management in maxillofacial trauma is a critical and complex challenge, requiring both secure ventilation optimal surgical access while minimizing risks to vital structures. This study evaluated the efficacy of submental intubation (SMI) as minimally invasive alternative tracheostomy patients with fractures. A retrospective analysis 52 treated between 2015 2023 was conducted by comparing clinical outcomes those who underwent SMI (n = 26) 26). The duration hospitalization, infection rates, perioperative complications were assessed using t-tests, chi-square tests, multivariate regression. Results indicated that associated significantly shorter hospital stays (11.15 ± 3.29 vs. 23.96 6.47 days, p < 0.001) lower rates (3.8% 30.8%, 0.028). Additionally, group demonstrated fewer intraoperative (p 0.049) postoperative 0.037). Multivariate identified an independent predictor prolonged hospitalization increased complications. These findings support safe effective for short-term airway trauma, providing recovery period Therefore, prospective studies larger cohorts are warranted confirm these results establish comprehensive guidelines.

Язык: Английский

Airway Management in Complex Maxillofacial Trauma: Evaluating the Role of Submental Intubation as a Viable Alternative to Tracheostomy DOI Open Access
Giulio Cirignaco, Gabriele Monarchi, Lisa Catarzi

и другие.

Craniomaxillofacial Trauma & Reconstruction, Год журнала: 2025, Номер 18(1), С. 21 - 21

Опубликована: Март 17, 2025

Airway management in maxillofacial trauma is a critical and complex challenge, requiring both secure ventilation optimal surgical access while minimizing risks to vital structures. This study evaluated the efficacy of submental intubation (SMI) as minimally invasive alternative tracheostomy patients with fractures. A retrospective analysis 52 treated between 2015 2023 was conducted by comparing clinical outcomes those who underwent SMI (n = 26) 26). The duration hospitalization, infection rates, perioperative complications were assessed using t-tests, chi-square tests, multivariate regression. Results indicated that associated significantly shorter hospital stays (11.15 ± 3.29 vs. 23.96 6.47 days, p < 0.001) lower rates (3.8% 30.8%, 0.028). Additionally, group demonstrated fewer intraoperative (p 0.049) postoperative 0.037). Multivariate identified an independent predictor prolonged hospitalization increased complications. These findings support safe effective for short-term airway trauma, providing recovery period Therefore, prospective studies larger cohorts are warranted confirm these results establish comprehensive guidelines.

Язык: Английский

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