2020
DOI: 10.1097/scs.0000000000006139
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Rigid Fiber-Optic Device Intubation in a Child With Temporomandibular Joint Ankylosis

Abstract: The authors present a case of rigid fiber-optic device intubation in an 8-year-old boy with posttraumatic temporomandibular joint ankylosis. For this intention, a 5 mm diameter Bonfils fiberscope was used. Such practice has never been described before in pediatric patients with temporomandibular joint ankylosis. The procedure was successful and without complications. Therefore, the authors conclude that this method represents a useful alternative in difficult airway management in children with limited mouth op… Show more

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Cited by 5 publications
(3 citation statements)
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“…The anesthetic management of known TMJ ankylosis has been well documented. 1,5–7 This case is an unusual presentation of undiagnosed TMJ ankylosis masked by the patient’s dementia. To our knowledge, this is the first report of presumed TMJ ankylosis discovered only after induction.…”
Section: Discussionmentioning
confidence: 91%
“…The anesthetic management of known TMJ ankylosis has been well documented. 1,5–7 This case is an unusual presentation of undiagnosed TMJ ankylosis masked by the patient’s dementia. To our knowledge, this is the first report of presumed TMJ ankylosis discovered only after induction.…”
Section: Discussionmentioning
confidence: 91%
“…Authors managed the case with rigid fiberoptic intubation using a 5mm diameter Bonfils retromolar intubation fiberscope and suggested it to be an alternative method in difficult airway management in paediatric patients. [26]…”
Section: Literature Reviewmentioning
confidence: 99%
“…The majority of anesthesiologists focus on the TMJ function evaluation as it relates to optimal intubating conditions [ 7 ]. Difficulties with intubation are especially common in patients with limited mouth opening such as those with TMJ ankyloses [ 8 , 9 , 10 , 11 ]. However, proper TMJ assessment is required both before and after anesthesia in order to avoid or minimize temporomandibular complications [ 6 , 12 ].…”
Section: Introductionmentioning
confidence: 99%