Airway management in patients undergoing maxillofacial surgery, the surgeon needs to control the dental occlusion and nasal pyramid assessment. For these reasons, oral and nasal endotracheal intubations are contraindicated. Tracheostomy often has perioperative and postoperative complications. Submental orotracheal intubation is now a recognized method of airway control during maxillofacial surgery. It provides a secure airway and does not interfere with maxilla mandibular fixation or access to naso- orbito - ethmoid fractures.