下颌下径路经口气管内插管在颌面部骨折治疗中的应用

目的：探讨下颌下径路经口气管内插管在复杂颌面部骨折治疗中的应用。方法：对16例颌面部复杂骨折患者实施下颌下径路经口气管内插管麻醉，术中使用自行研制的引管装置辅助引管。结果：16例患者均一次引管成功，在无麻醉干扰的状态下顺利完成手术。术后未发现严重并发症。结论：下颌下径路经口气管内插管操作简便、安全、创伤小，避免了麻醉导管对口腔手术野的干扰，是对传统麻醉插管方式的改进和补充，是复杂面部骨折手术麻醉的较好选择。

Clinical application of submandibular endotracheal intubation for treatment of patients with maxillofacial fractures

PURPOSE: To investigate the application of submandibular endotracheal intubation for treatment of patients with complex maxillofacial fractures. METHODS: Sixteen cases of complex maxillofacial fractures were treated with submandibular endotracheal intubation, self-made tube was used to assist tube guidance during operation. RESULTS: The procedure was successful in all 16 patients ,under the conditions of no disturbance. All patients recovered well without major complication. CONCLUSION: Submandibular endotracheal intubation is a safe and effective technique with minimal trauma, which can be a better choice for complex maxillofacial fractures.