Difficult intubation in traumatic tongue bifurcation

Sir, Airway management of the multiple trauma patients presents a series of challenges.[1] Many trauma patients present difficult airways that require a different approach and formulation of a planned series of steps before airway management is initiated. Maxillofacial trauma compromises the patient’s airway and therefore it must be protected. [2] Difficult mask ventilation and endotracheal intubation are anticipated in such patients. In addition, the patient is usually regarded as having a “full stomach” and has not been cleared of a cervical spine injury. The time available to accomplish the task is short and the patient’s condition may deteriorate rapidly.