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J Coll Physicians Surg Pak. 2012 Dec;22(12):783-5. doi: 12.2012/JCPSP.783785.

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

Author information

1
Department of Anaesthesia, The Aga Khan University Hospital, Karachi. asghar.ashraf@aku.edu

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.

PMID:
23217485
DOI:
12.2012/JCPSP.783785
[Indexed for MEDLINE]

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