ePlasty: Vol. 18
Endotracheal Tube Fixation in Patients With Facial Burns, What Are the Options?
Patrick Assi, MD, Luis Quiroga, MD, Kevin Gerold, DO, JD, and Julie Caffrey, DO, MS

Johns Hopkins Burn Center, Johns Hopkins University School of Medicine, Baltimore, MD

Correspondence: patrick.e.assi@gmail.com
Keywords: endotracheal tube fixation, facial burns, endotracheal tube stabilization, securing ET tube, intermaxillary fixation screw
Figure 1. Endotracheal tube fixation using intermaxillary fixation screw in a patient with severe facial and cervical burn.


A 52-year-old alcoholic woman sustained a 40% total body surface area full-thickness flame burn to her torso, face, neck, and scalp, as well as an inhalational injury. We describe a valid and safe technique to be used for endotracheal (ET) tube fixation using intermaxillary fixation (IMF) in an edentulous patient with facial burns.


1. What are the challenges in ET tube fixation in patients with facial burns?

2. What factors make this described technique an easy and safe method for ET tube fixation in edentulous patients with facial burns?

3. What are the available options described in the literature  .......