Video Laryngoscope for Nasal Intubation in Maxillofacial Trauma: A Comparative Study of Mandibular and Zygomatic Fractures | ||||
| Aswan University Medical Journal | ||||
| Articles in Press, Accepted Manuscript, Available Online from 14 July 2025 | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/aumj.2025.441660 | ||||
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| Authors | ||||
Ayman Mohammady Eldemerdash; soudy salah; Mohamed Alazhary; Muhammad Essam 
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| Department of Anesthesia, Surgical Intensive Care and Pain Management, Faculty of Medicine, Aswan University | ||||
| Abstract | ||||
| Background: Maxillofacial trauma complicates airway management due to anatomical distortion and bleeding. Video laryngoscopy (VL) enhances visualization and improves intubation success rates. This study evaluates VL’s effectiveness in nasotracheal intubation for mandibular and zygomatic fractures, focusing on success rates, intubation time, and complications. Methods: This prospective, randomized clinical trial was conducted at Aswan University Hospital .A total of 27 patients requiring nasal intubation due to maxillofacial trauma were included in this study. Patients were divided into two groups: Group A (14 patients) with mandibular fractures and Group B (13 patients) with zygomatic fractures. Results: Mandibular fracture patients had a significantly longer intubation duration. First-attempt success, Magill forceps use, cervical spine extension, and bleeding incidence showed no significant differences between groups. Complication rates were similar. Conclusion: patients with mandibular fractures may pose additional challenges due to airway misalignment and soft tissue obstruction, video laryngoscopy remains an effective tool to mitigate these difficulties. The comparable first-attempt success rates and low complication rates across both fracture groups reinforce its utility in trauma care. | ||||
| Keywords | ||||
| Maxillofacial Trauma; Video Laryngoscope; Mandibular Fracture; Zygomatic Fracture; Airway Management | ||||
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