Open AccessTemporomandibular joint ankylosis: “A pediatric difficult airway management”
Author(s) -
Anoop Sharma,
Deepak Dwivedi,
Rohit Sharma
Publication year - 2018
Publication title -
al-banǧ. maqālāt wa abḥāṯ fī al-taẖdīr wa-al-in’āš
Language(s) - English
Resource type - Journals
ISSN - 0259-1162
DOI - 10.4103/aer.aer_122_17
Subject(s) - nostril , medicine , airway , temporomandibular joint , endotracheal tube , ankylosis , nasotracheal intubation , intubation , airway management , scope (computer science) , surgery , dentistry , orthodontics , anesthesia , nose , computer science , programming language
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.