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

IF 0.8 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Journal of Maxillofacial & Oral Surgery Pub Date : 2024-02-01 Epub Date: 2022-08-22 DOI:10.1007/s12663-022-01773-8
Nidhi Bhatia, Tarush Gupta, Sourabha Patro, S P S Aswin Ram, Dias Queenie Valerian, Kajal Jain
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Abstract

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.

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下颌下管损伤和继发性纤维变性引起Sialocele:一种罕见的颏下插管并发症
颌面部骨折伴有鼻骨/颅底骨折可能会妨碍鼻气管插管,而口气管插管可能会阻碍手术通道。在这些情况下,门下插管是一种安全且广为接受的替代方法,发病率和并发症发生率都很低。我们报告了一例此类罕见并发症的病例,患者在门下插管后出现舌下咽峡炎,伴有颌下腺导管扩张和周围纤维化。我们遇到的继发性舌下咽峡炎可能是由于下颌插管技术错误造成的。因此,全面了解下颌下和颌下腺区域的解剖结构对于避免并发症非常重要。
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来源期刊
Journal of Maxillofacial & Oral Surgery
Journal of Maxillofacial & Oral Surgery DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
1.90
自引率
0.00%
发文量
138
期刊介绍: This journal offers comprehensive coverage of new techniques, important developments and innovative ideas in Oral and Maxillofacial Surgery. Practice-applicable articles help develop the methods used to handle dentoalveolar surgery, facial injuries and deformities, TMJ disorders, oral cancer, jaw reconstruction, anesthesia and analgesia. The journal also includes specifics on new instruments, diagnostic equipment’s and modern therapeutic drugs and devices. Journal of Oral and Maxillofacial Surgery is recommended for first or priority subscription by the Dental Section of the Medical Library Association. Specific topics covered recently have included: ? distraction osteogenesis ? synthetic bone substitutes ? fibroblast growth factors ? fetal wound healing ? skull base surgery ? computer-assisted surgery ? vascularized bone grafts Benefits to authorsWe also provide many author benefits, such as free PDFs, a liberal copyright policy, special discounts on Elsevier publications and much more. Please click here for more information on our author services.
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