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Corcoy, S. Pacreu, J.C. Álvarez, C. Espinosa" "autores" => array:4 [ 0 => array:4 [ "nombre" => "M." "apellidos" => "Corcoy" "email" => array:1 [ 0 => "86846@parcdesalutmar.cat" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "S." "apellidos" => "Pacreu" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "J.C." "apellidos" => "Álvarez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 3 => array:3 [ "nombre" => "C." "apellidos" => "Espinosa" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Anestesiología, Reanimación y Terapia del Dolor, Parc de Salut Mar, Barcelona, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Maxilofacial, Parc de Salut Mar, Barcelona, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Intubación submentoniana en osteosíntesis de fractura de macizo facial" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 681 "Ancho" => 905 "Tamanyo" => 98667 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Submental intubation in a patient with a Lefort II fracture.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Submental intubation is a technique used when the nasotracheal route is contraindicated due to the patient's facial bone injuries, and orotracheal intubation would interfere with the surgical approach.</p><p id="par0010" class="elsevierStylePara elsevierViewall">The image corresponds to a 32-year-old patient with a Lefort II and mandibular symphyseal fracture in whom submental intubation was performed. First, orotracheal intubation was performed with a no. 9 LMA Fastrach ETT (Teleflex Medical, USA). Once the airway had been secured, the maxillofacial surgeon made a right paramedian submental incision and dissected between the genioglossal, geniohyoid, and anterior digastric muscles until reaching the floor of the mouth. Kocher forceps were then passed through this incision to grasp the orotracheal tube and take it out through the incision. Finally, the orotracheal tube was secured to the skin (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">The main advantage of submental intubation over tracheostomy is that it is associated with only minor, infrequent complications. For this reason, we believe that submental intubation is a good alternative to tracheostomy in patients with complex craniofacial trauma or orthognathic surgery, provided prolonged postoperative intubation is not expected.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Corcoy M, Pacreu S, Álvarez JC, Espinosa C. Intubación submentoniana en osteosíntesis de fractura de macizo facial. 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