Anatomical approach to submental intubation through a paramedian transcrevicular approach

Submental intubation has been established as a useful technique in securing the airway and is also less invasive as compared to a tracheostomy. This approach is especially useful in cases of fractures involving the naso-orbito-ethmoid complex, where a nasotracheal intubation would be contraindicated. Also, in case of orthognathic surgeries, where occlusion is considered to be the key to success, an orotracheal intubation could hinder the surgical procedure. In this technical note, we have described a modified submental intubation technique that is less invasive and at the same time facilitates successful airway management, thus reducing postoperative complications.