CASE REPORT
Year : 2011  |  Volume : 5  |  Issue : 2  |  Page : 226-228

Fluroscopic assisted airway intubation in temporomandibular joint ankylosis: A novel technique


1 Department of Orthopaedics, MAJ Hospital, Edapally, Kochi, Kerala, India
2 Consultant Anaesthetist, M.B.M.M Hospital, Kothamangalam, Kerala, India
3 Department of FacioMaxillary Surgery, M. B. D. College, Kothamangalam, Kerala, India

Correspondence Address:
Ibin Varughese
Parekkara H, Kothamangalam P. O.,Ernakulam Dist, Kerala - 686 691
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1658-354X.82813

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Airway management is considered one of the most difficult and challenging procedures among the various anesthetic procedures. It becomes tougher when there is a diseased temporomandibular joint (TMJ) due to inadequate mouth opening. In the current scenario there are only a few methods that ensure a safe, uneventful intubation in a TMJ ankylosis patient with a difficult airway. These include techniques ranging from minimally invasive techniques like blind nasal intubation, retrograde intubation using a guide wire, the latest technique of intubating with the help of a fiberoptic laryngoscope and the time tested tracheostomy. All these techniques have got their own disadvantages. So we report a case series of five patients with TMJ ankylosis who underwent fluoroscopic-assisted intubation for airway management. We found that this technique is 100% successful in managing the airway in these patients. To the best of our knowledge, this is the first case series detailing this novel technique in the entire English medical literature.


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