Maxillo-facial trauma involving maxillary and mandibular structures presents with difficulties in maintaining airway and sometimes challenges anaesthesiologist and surgeon more often at intra-operative period. Patient can have serious destruction of soft tissue, bony and cartilagenous components of the upper airway. Nasal intubation in these patients is controversial1, more particularly when performed without fibre optic bronchoscope. The necessity of intra-operative restoration of occlusion by maxillo-madibular fixation(I.M.F) makes oral intubation not feasible. For patients with pan facial trauma where nasal and oral intubation not possible and tracheostomy is the only option and only when short term post operative airway control is required, submental intubation can be a valuable option2. In our study submental intubation was done on 12 patients with a technical modification to prevent tearing of the oral mucosa which is known to be common in submental intubation.