Complete Temporomandibular Joint Ankylosis with Nil Mouth Opening: An Anesthetic Challenge

P Akshara

doi:10.5005/jp-journals-10082-03144

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Complete Temporomandibular Joint Ankylosis with Nil Mouth Opening: An Anesthetic Challenge

P Akshara

Keywords : Airway in TMJ ankylosis, Nil mouth opening, Pediatric difficult airway

Citation Information : Akshara P. Complete Temporomandibular Joint Ankylosis with Nil Mouth Opening: An Anesthetic Challenge. 2022; 5 (2):49-51.

DOI: 10.5005/jp-journals-10082-03144

License: CC BY-NC 4.0

Published Online: 25-05-2022

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Abstract

Securing an airway in pediatric patients with TMJ ankylosis with nil mouth opening is an anesthetic challenge. Among the methods available including submandibular intubation, retrograde intubation and tracheostomy, fiberoptic nasotracheal intubation technique remains gold standard. Self-awareness and calmness are important attributes of an anaesthetist during such cases. Prior planning of the anesthetic technique and good rapport with surgeon are of key importance for successful outcomes of such difficult airway cases. We present a case of Right Temporomandibular Joint Ankylosis for surgery in a pediatric age-group with nil mouth opening managed successfully with fiberoptic bronchoscope.

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Goswami D, Singh S, Bhutia O, Baidya D, Sawhney C. Management of young patients with temporomandibular joint ankylosis—a surgical and anesthetic challenge. Indian J Surg 2016;78(6):482–489. DOI: 10.1007/s12262-016-1551-5.
Sharma A, Dwivedi D, Sharma RM. Temporomandibular joint ankylosis: “A pediatric difficult airway management”. Anesth Essays Res 2018;12(1):282. DOI: 10.4103/aer.AER_122_17.
The Merck manual-home edition, Sec 8, Ch 96. Disorders of the Temporomandibular Joint.html.
Manganello-Souza LC, Mariani PB. Temporomandibular joint ankylosis: report of 14 cases. Int J Oral Maxillofac Surg 2003;32(1): 24–29. DOI: 10.1054/ijom.2002.0308.
Garcia-Aparicio L, Parri FJ, Sancho MA, Sarget R, Morales L. Temporomandibular joint ankylosis (TMA) in children. Cir Pediatr 2000;13(2):62–63. PMID: 12602004.
Kobayashi R, Utsunomiya T, Yamamoto H, Nagura H. Ankylosis of the temporomandibular joint caused by rheumatoid arthritis: a pathological study and review. J Oral Sci 2001;43(2):97–101. DOI: 10.2334/josnusd.43.97.
Baykul T, Aydin MA, Nasir S. Avascular necrosis of the mandibular condyle causing fibrous ankylosis of the temporomandibular joint in sickle cell anemia. J Craniofac Surg 2004;15(6):1052–1056. DOI: 10.1097/00001665-200411000-00035.

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