Tehran University of Medical Sciences Archives of Anesthesiology and Critical Care 2423-5849 0 0 2026 03 24 1352 1352 Chhaya Suryawanshi Department of Anaesthesiology, Dr. D. Y. Patil Medical College, Hospital and Research Centre, University of Dr. D. Y. Patil Vidyapeeth, Pune, India. Sabyasachi Mohapatra Department of Anaesthesiology, Dr. D. Y. Patil Medical College, Hospital and Research Centre, University of Dr. D. Y. Patil Vidyapeeth, Pune, India. Dharmesh Gandhi india 2025 07 20 2025 09 01 Submental intubation presents a practical alternative to tracheostomy for airway management in maxillofacial trauma, especially when nasal and oral routes are not viable. We present a 24-year-old male who sustained bilateral parasymphysis fracture along with right zygomaticomaxillary complex (ZMC), and nasomaxillary complex fractures. He was posted for open reduction and internal fixation (ORIF) under general anesthesia. For clear surgical access while maintaining a secure airway, submental intubation was performed. This case highlights the safety and effectiveness of submental intubation in selected cases of facial trauma. https://aacc.tums.ac.ir/index.php/aacc/article/view/1352