Anaesthesia for TMJ Ankylosis with
the Use of TIVA, Followed by
Endotracheal Intubation
Published: December 1, 2012 | DOI: https://doi.org/10.7860/JCDR/2012/.2605
Mohan K, Mohana Rupa L, Gopala Krishna Murthy S, Greeshma P.G, Bhavana U
1. Assistant Professor, Department of Anaesthesiology,
2. Assistant Professor, Department of Pharmacology,
3. Professor and Head, Department of Anaesthesiology,
4. Post Graduate, Department of Anaesthesiology,
5. Post Graduate, Department of Anaesthesiology,
Mamata Medical College, Khammam,
Andhra Pradesh, India.
Correspondence
Dr. Mohan K
Assistant Professor, Department of Anaesthesiology,
Mamata General Hospital, Khammam,
Andhra Pradesh-507002, India.
Phone: 09848177791
E-mail: koyeedoctor@gmail.com
TMJ ankylosis, though it is not common, is an anaesthetic challenge, as it is a difficult airway situation with a moderate to a severely limited mouth opening. Fiber-optic intubation is the gold standard for such cases, but it may not be readily available at all centres. Blind nasal intubation, retro-grade intubation and tracheostomy are the other alternatives, but they require patient co-operation and are associated with considerable morbidity. We are presenting a case of unilateral TMJ ankylosis in a 12 years old boy who was posted for condylectomy and interpositional arthroplasty. He was maintained on TIVA for condylectomy and was then intubated for the remaining procedure. The procedure and the recovery were uneventful.
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