The jaw is the most common site of injury in children due to its a) location (the nasal bone and jaw are the most prominent part of the face in children) ; b) attachment ratio of the cranial volume and facial volume from 8:1 to 2.5:1; c) Direction of growth of mandible i.e. downward and forward with increasing age. Say no to plagiarism. Get a tailor-made essay on "Why Violent Video Games Shouldn't Be Banned"? Get an original essay Airway management in facial trauma defends the use of oroendotracheal intubation because it does not offer the flexibility to evaluate maxillomandibular occlusion and fixation that are critical requirements in the reduction and fixation of facial fractures. Therefore, conventional practice involved the use of tracheostomy or nasoendotracheal intubation for the administration of anesthesia. Although nasoendotracheal intubation is the preferred modality in adults, the risk of bleeding due to hypertrophic adenoids increases in pediatric facial fractures. Techniques such as submental intubation and tracheostomy are also used, but complications with these techniques can be avoided with retromolar intubation specifically in pediatric patients with maxillofacial trauma. The primary objective of the study was to evaluate the adequacy of retromolar space and the effectiveness of retromolar intubation in pediatric mandibular fractures without compromising anesthetic and surgical requirements. The main requirement for correct placement of the endotracheal tube in the retromolar region is the adequacy of space. In this report, space adequacy was assessed by placing the nasopharyngeal cannula in the retromolar region which created a memory path for endotracheal tube insertion while the patient was unconscious as described by LT Nguyen et al. With the absence of third molars in younger patients over 14 years of age, the availability of retromolar space adds another dimension to the intubation technique. Patients intubated with the endotracheal tube in the retromolar space have a reliable airway, increased visibility, and unobstructed surgical access to the nose and oral cavity. Intra- and postoperative complications are relatively low compared to other intubation techniques and without compromising the patency of the patient's airway make retromolar intubation an intubation choice in pediatric patients. Accidental extubation or displacement could represent a difficult and uncomfortable situation for both the anesthesiologist and the surgeon. In the present study, no incident of accidental displacement of the ETT occurred, because the ETT was easily and safely positioned in the retromolar space, finally positioned there with the help of a 3-0 silk suture. Retromolar intubation cannot be used in patients with syndromes such as Pierre Robin syndrome, Treacher Collin syndrome, achondroplasia and mandibular hypoplasia mainly because in these patients there is a lack of cooperation for the procedure. Although further studies are needed in the future in all patients with maxillofacial trauma and in pediatric patients, it is a safer and non-invasive technique. Please note: this is just a sample. Get a custom paper from our expert writers now. Get Custom Essay In conclusion, the retromolar region used for endotracheal intubation provided adequate space in pediatric patients, as it is not affected by the eruption of the first and second permanent molars. In this case, occlusion can be achieved by placing the endotracheal tube in the retromolar space. Therefore,.