ANAESTHETIC MANAGEMENT OF BILATERALTEMPOROMANDIBULAR JOINT ANKYLOSIS POSTED FOR DISTRACTOR PLACEMENT.

Dr. Shakuntala Goswami; Dr. Mohan Gandhi; Dr. Priya Pathak; Dr. Sargunaraj; Dr. Mona Vasudev Bilandani

Volume : IX, Issue : VII, July - 2019

ANAESTHETIC MANAGEMENT OF BILATERALTEMPOROMANDIBULAR JOINT ANKYLOSIS POSTED FOR DISTRACTOR PLACEMENT.

Dr. Shakuntala Goswami, Dr. Mohan Gandhi, Dr. Priya Pathak, Dr. Sargunaraj, Dr. Mona Vasudev Bilandani

Abstract :

Introduction: Temporomandibular joint (TMJ) ankylosis is a condition associated with limited to zero mouth opening. In addition to facial asymmetry, malocclusion, anemia& malnutrition, airway obstruction may be present. All these changes make not only intubation but ventilation also difficult. Method: We are discussing a case of a 45 year old male patient who presented with inability to open his mouth for 30 years following history of fall. Conclusion: In temporomandibular joint ankylosis, fieoptic guided awake nasal intubation is a gold standard(if available), safer and better alternative to other techniques without any significant mortality and morbidity.