Abstract Submental intubation, alternative to tracheostomy and is comparatively less invasive, in cases where oral intubation could not be established as it required to establish dental relationships perioperatively this method of intubation was preferred, and it was first reported for acute airway management of maxillofacial trauma patients, where naso-endotracheal intubation was contraindicated. Submental intubation is used most commonly in trauma patients, it also includes many orthognathic and skull base surgical procedures. Submental intubation is a safe and effective technique method in securing airway, for many maxillofacial procedures