Medical Case Studies

  • Abbreviation: Med. Case Stud.
  • Language: English
  • ISSN: 2141-6532
  • DOI: 10.5897/MCS
  • Start Year: 2010
  • Published Articles: 40

Case Report

Blind nasal intubation in temporomandibular joint ankylosis: A case report

Bereket Gebremeskel Girmay
  • Bereket Gebremeskel Girmay
  • Department of Anesthesia Wolaita, School of Medicine, Wolaita Sodo University, Ethiopia.
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Mohammed Suleiman Obsa
  • Mohammed Suleiman Obsa
  • Department of Anesthesia Wolaita, School of Medicine, Wolaita Sodo University, Ethiopia.
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  •  Received: 28 September 2017
  •  Accepted: 27 October 2017
  •  Published: 31 March 2018

Abstract

Temperomandibular joint (TMJ) ankylosis is loss of joint movement that results from a union of the mandibular condyle to the base of the skull. Managing airway is considered to be one of the most difficult and challenging procedures when there is a diseased temperomandibular joint as a result of inadequate mouth opening. Although TMJ ankylosis is well known risk factors of difficult airway management, the techniques used are dependent on the expertise of the concerned anesthesiologists and available resources. Techniques used to secure airway in adults may not be ideal for children and sometimes dedicated equipment may not be available. In this case report we described a case of 14-year-old female patient diagnosed with bilateral TMJ ankylosis and who underwent surgery for left side temperomandibular ankylosis release and temperomandibular joint reconstruction under general anesthesia with a blind nasal intubation.

Key words: Temporomandibular joint ankylosis, difficulty airway, blind nasal intubation.

Abbreviation

IO, Intrinsical opening; TMJ, temporomandibular joint; ETT, endotracheal tube.