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Case Reports
. 2018 Jan-Mar;12(1):282-284.
doi: 10.4103/aer.AER_122_17.

Temporomandibular Joint Ankylosis: "A Pediatric Difficult Airway Management"

Anoop Sharma  1 , Deepak Dwivedi  2 , Ram Murti Sharma  1
Affiliations
Case Reports

Temporomandibular Joint Ankylosis: "A Pediatric Difficult Airway Management"

Anoop Sharma et al. Anesth Essays Res. 2018 Jan-Mar.

Abstract

Intubating a pediatric patient with temporomandibular joint ankylosis is a daunting task, and it becomes more challenging with limited mouth opening. Fiberoptic nasotracheal intubation technique is considered a gold standard. We describe an improvised technique of securing airway in the absence of appropriate-sized fiberoptic scope. The endotracheal tube inserted in the left nostril for maintaining depth of anesthesia was advanced under vision by the fiberoptic scope inserted into the right nostril, and with external laryngeal manipulation, the airway was secured with no complications.

Keywords: Airway management; bronchoscopy; pediatrics; temporomandibular ankylosis.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Child with bilateral temporomandibular ankylosis and limited mouth opening
See this image and copyright information in PMC

References

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