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Aim <p>The present systematic review and meta-analysis is designed to evaluate and compare the clinical efficacy, complication rates quantitatively, procedural and safety outcomes descriptively for submental intubation versus other airway management techniques in patients undergoing surgery for maxillofacial trauma.</p> Materials and Methods <p>A PRISMA-compliant systematic review was conducted using PubMed, Scopus, Web of Science, Cochrane Library, ClinicalTrials.gov, and ProQuest for studies published from 1 January 2000 to 31 March 2025. Comparative studies evaluating Submental intubation against other airway techniques in adult maxillofacial trauma patients were included. Complication rates were quantitatively synthesized using fixed-effects meta-analysis, while operative time, hospital stay, surgical access, and cosmetic outcomes were analysed descriptively.</p> Results <p>Nine studies met the inclusion criteria. Compared with tracheostomy, Sub mental intubation consistently demonstrated better surgical access, shorter operative and hospitalization duration, superior cosmetic outcomes, and fewer complications. Meta-analysis showed a lower risk of complications with Submental intubation (pooled risk difference: − 0.065; 95% CI: − 0.148 to 0.019), though this did not reach statistical significance.</p> Conclusion <p>Submental intubation is a safe and effective alternative to tracheostomy in selected maxillofacial trauma patients, offering procedural, aesthetic, and potential economic advantages. Further high-quality randomized trials are needed to establish standardized protocols and cost-effectiveness.</p>

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Clinical Efficacy of Submental Intubation Versus Other Techniques in Maxillofacial Trauma: A Systematic Review and Meta-analysis

  • 期刊论文

  • 发表日期：

    2026年4月27日

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  • Shallu Bansal,
  • Anil Managutti

摘要

Aim

The present systematic review and meta-analysis is designed to evaluate and compare the clinical efficacy, complication rates quantitatively, procedural and safety outcomes descriptively for submental intubation versus other airway management techniques in patients undergoing surgery for maxillofacial trauma.

Materials and Methods

A PRISMA-compliant systematic review was conducted using PubMed, Scopus, Web of Science, Cochrane Library, ClinicalTrials.gov, and ProQuest for studies published from 1 January 2000 to 31 March 2025. Comparative studies evaluating Submental intubation against other airway techniques in adult maxillofacial trauma patients were included. Complication rates were quantitatively synthesized using fixed-effects meta-analysis, while operative time, hospital stay, surgical access, and cosmetic outcomes were analysed descriptively.

Results

Nine studies met the inclusion criteria. Compared with tracheostomy, Sub mental intubation consistently demonstrated better surgical access, shorter operative and hospitalization duration, superior cosmetic outcomes, and fewer complications. Meta-analysis showed a lower risk of complications with Submental intubation (pooled risk difference: − 0.065; 95% CI: − 0.148 to 0.019), though this did not reach statistical significance.

Conclusion

Submental intubation is a safe and effective alternative to tracheostomy in selected maxillofacial trauma patients, offering procedural, aesthetic, and potential economic advantages. Further high-quality randomized trials are needed to establish standardized protocols and cost-effectiveness.