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British Journal of Anaesthesia, 2002, Vol. 88, No. 2 288-291
© 2002 The Board of Management and Trustees of the British Journal of Anaesthesia

Case Reports

Submental intubation in a patient with beta-thalassaemia major undergoing elective maxillary and mandibular osteotomies

P. H. K. Mak* and R. G. B. Ooi

Department of Anaesthesiology, Queen Mary Hospital, Pokfulam, Hong Kong, People’s Republic of China*Corresponding author

A 33-yr-old woman with marked maxillo-facial deformities as a result of underlying beta-thalassaemia major was to undergo corrective maxillary and mandibular osteotomies. The placement of an endotracheal tube posed a problem in this patient because of anatomical deformities in her nasal passage, surgical constraints on using the oral route, and reluctance of the patient to have a tracheostomy. This case report describes the use of a submental tracheal intubation technique, and the associated anaesthetic difficulties encountered in patients with this pathology.

Br J Anaesth 2002; 88: 288–91


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H. M. F. Anwer, I. M. Zeitoun, and E. A. A. Shehata
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Br. J. Anaesth., June 1, 2007; 98(6): 835 - 840.
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