Evidence map›Paper›PMID 40271461›Full record

ArticleCraniomaxillofacial trauma & reconstruction2025

Airway Management in Complex Maxillofacial Trauma: Evaluating the Role of Submental Intubation as a Viable Alternative to Tracheostomy.

Giulio Cirignaco, Gabriele Monarchi, Lisa Catarzi, Mariagrazia Paglianiti, Enrico Betti, Umberto Committeri, Alberto Bianchi, Paolo Balercia, Giuseppe Consorti

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Craniomaxillofacial trauma & reconstruction, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Giulio CirignacoDepartment of Medicine, Section of Maxillo-Facial Surgery, University of Siena, Viale Bracci, 53100 Siena, Italy; g.cirignaco@student.unisi.it (G.C.); gabriele.monarchi@gmail.com (G.M.); lisa.catarzi@gmail.com (L.C.); mgpaglianiti@gmail.com (M.P.).ORCID https://orcid.org/0000-0002-6830-9309
Gabriele MonarchiDepartment of Medicine, Section of Maxillo-Facial Surgery, University of Siena, Viale Bracci, 53100 Siena, Italy; g.cirignaco@student.unisi.it (G.C.); gabriele.monarchi@gmail.com (G.M.); lisa.catarzi@gmail.com (L.C.); mgpaglianiti@gmail.com (M.P.).ORCID https://orcid.org/0000-0001-7489-3794
Lisa CatarziDepartment of Medicine, Section of Maxillo-Facial Surgery, University of Siena, Viale Bracci, 53100 Siena, Italy; g.cirignaco@student.unisi.it (G.C.); gabriele.monarchi@gmail.com (G.M.); lisa.catarzi@gmail.com (L.C.); mgpaglianiti@gmail.com (M.P.).ORCID https://orcid.org/0000-0001-5028-891X
Mariagrazia PaglianitiDepartment of Medicine, Section of Maxillo-Facial Surgery, University of Siena, Viale Bracci, 53100 Siena, Italy; g.cirignaco@student.unisi.it (G.C.); gabriele.monarchi@gmail.com (G.M.); lisa.catarzi@gmail.com (L.C.); mgpaglianiti@gmail.com (M.P.).ORCID https://orcid.org/0009-0004-5062-9920
Enrico BettiDivision of Maxillofacial Surgery, Department of Neurological Sciences, Marche University Hospitals-Umberto I, 60126 Ancona, Italy; enrico.betti@ospedaliriuniti.marche.it (E.B.); paolo.balercia@ospedaliriuniti.marche.it (P.B.).
Umberto CommitteriDivision of Maxillofacial Surgery, "Santa Maria" Hospital, V.le Tristano di Joannuccio, 05100 Terni, Italy; umbertocommitteri@gmail.com.ORCID https://orcid.org/0000-0002-9444-0052
Alberto BianchiDepartment of General Surgery and Medical-Surgical Specialties, University of Catania, 95123 Catania, Italy; alberto.bianchi@unict.it.ORCID https://orcid.org/0000-0001-9374-2748
Paolo BalerciaDivision of Maxillofacial Surgery, Department of Neurological Sciences, Marche University Hospitals-Umberto I, 60126 Ancona, Italy; enrico.betti@ospedaliriuniti.marche.it (E.B.); paolo.balercia@ospedaliriuniti.marche.it (P.B.).
Giuseppe ConsortiDivision of Maxillofacial Surgery, Department of Neurological Sciences, Marche University Hospitals-Umberto I, 60126 Ancona, Italy; enrico.betti@ospedaliriuniti.marche.it (E.B.); paolo.balercia@ospedaliriuniti.marche.it (P.B.).ORCID https://orcid.org/0000-0002-3508-5847

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Airway management in maxillofacial trauma is a critical and complex challenge, requiring both secure ventilation and optimal surgical access while minimizing risks to vital structures. This study evaluated the efficacy of submental intubation (SMI) as a minimally invasive alternative to tracheostomy in patients with complex maxillofacial fractures. A retrospective analysis of 52 patients treated between 2015 and 2023 was conducted by comparing clinical outcomes between those who underwent SMI (n = 26) and those who underwent tracheostomy (n = 26). The duration of hospitalization, infection rates, and perioperative complications were assessed using t-tests, chi-square tests, and multivariate regression. Results indicated that SMI was associated with significantly shorter hospital stays (11.15 ± 3.29 vs. 23.96 ± 6.47 days,

Indexed as

airway managementcomplicationshospitalization daysmaxillofacial fracturesubmental intubationtracheostomy

Identifiers

PMID40271461
PMCPMC11995817

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.