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A 2-year-old girl had a choking incident while eating at home. Although bystander cardiopulmonary resuscitation (CPR) was performed by her parents, she went into cardiopulmonary arrest by the time the emergency medical team arrived. During subsequent CPR, the emergency physician realised the impossibility of manipulating the tracheal intubation devices because of trismus. One hour after the incident, circulation spontaneously returned on the way to the hospital. According to the medical history of the patient, she was previously diagnosed with congenital temporomandibular joint ankylosis (CTMJA). Because severe trismus was observed at birth, nasogastric tube feeding was initiated and continued until 18 months of age, and oral ingestion of milk and masticated food was initiated at 12 months of age. Despite several examinations, including a chromosomal study, the disease that caused CTMJA remained unknown.

Food Choking in a Patient with Congenital Temporomandibular Joint Ankylosis