Fiberoptic intubation in a paediatric patient with severe temporomandibular joint (TMJ) ankylosis

Ali Asghar, Faisal Shamim, Asiyah Aman

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8 Citations (Scopus)

Abstract

Craniofacial abnormalities are associated with mandibular hypoplasia, reduced mandibular space with overcrowding of soft tissues and maxillary hypoplasia. Decreased mouth opening and limitation in jaw protrusion are independent predictors of difficult airway in such patients. The relative difficult problem becomes even graver in the paediatric age group because of their small mouth opening and un-cooperativeness. A child with severe temporomandibular joint (TMJ) ankylosis presented with negligible mouth opening and required surgical correction under general anaesthesia. Successful intubation was performed with endotracheal tube size 5.5 mm using an adult 4.3 mm fiberoptic bronchoscope under inhalational as well as topical anaesthesia.

Original languageEnglish
Pages (from-to)783-785
Number of pages3
JournalJournal of the College of Physicians and Surgeons--Pakistan : JCPSP
Volume22
Issue number12
Publication statusPublished - Dec 2012

Keywords

  • Airway management
  • Fiberoptic intubation
  • Temporomandibular joint ankylosis
  • Topical anaesthesia

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