Temporomandibular joint ankylosis: “A pediatric difficult airway management”

Sharma, Anoop; Dwivedi, Deepak; Sharma, Rohit

doi:10.4103/aer.aer_122_17

Cited by 9 publications

(1 citation statement)

References 11 publications

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“…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%

Evaluation of Temporomandibular Joint by Anesthetists in Florida When Conducting Orotracheal Intubation—A Pilot Study

Gadotti

Geronimo

Rodríguez

et al. 2020

JCM

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Background: Orotracheal intubation has been considered a risk factor for the development or exacerbation of disorders related to the temporomandibular joint (TMJ). The objective of this pilot study was to evaluate TMJ assessment performed by anesthetists in Florida when conducting orotracheal intubation. Methods: An online questionnaire was created using Qualtrics. The survey included 22 questions related to demographics, TMJ related to anesthesia procedures, and education/awareness regarding TMJ related to intubation. Descriptive statistics and cross-tabulation analysis were performed. Results: One hundred and eight providers participated (mean 46 years-old ± 12; 59% female). About 50% reported to always evaluate TMJ prior non-emergency intubation. Of those, 56% used an alternative intubation technique based on the TMJ status and 60% never/rarely evaluated TMJ post-intubation. Twenty-five percent reported they did not know of possible intubation effects on TMJ and 47% reported that they did not receive adequate information/education on TMJ management related to intubation in school. After participation, 81% reported to be more aware of the importance of evaluating TMJ. Conclusions: Only half of the providers who frequently performed intubation in Florida evaluated TMJ prior to intubation. This survey increased the awareness regarding the importance of evaluating TMJ when conducting intubation. This may contribute to reducing TMJ issues associated with non-emergency intubations.

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Section: Introductionmentioning

confidence: 99%

Evaluation of Temporomandibular Joint by Anesthetists in Florida When Conducting Orotracheal Intubation—A Pilot Study

Gadotti

Geronimo

Rodríguez

et al. 2020

JCM

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Global research trends in prediction of difficult airways: A bibliometric and visualization study

Lian

Pan

et al. 2023

Medicine

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Many tools are used to predict difficult airway, including bedside screening tests, radiological variables, and ultrasonography. However, the “gold standard” to identify difficult airway before intubation has not been established. The assessment and prediction of difficult airway is receiving increasing attention in clinical practice due to the devastating results of failed oxygenation or intubation. A literature visualization study is necessary to understand the research trend and help tailor future research directions. Science citation index-expanded web of Science database were used to search for literature related to assessment and prediction of difficult airways published before May 9th, 2022. VOS viewer software was used for visual analysis, including literature statistics, and co-occurrence analysis. A total of 2609 articles were included. The amount of relevant research interest and literature is increasing every year. According to co-occurrence network analysis, the research results can be grouped into the following 5 clusters, intubation approaches, intubation in special populations, difficult airway assessment tests, intubation in critical care/emergency settings and education, and laryngoscopes. Co-occurrence overlay analysis showed that video laryngoscopes and index prediction (including computed tomography and ultrasonography), emerged recently and comprised an important percentage of current studies. It can be predicted that future studies should focus on understanding the upper airway anatomy and constructing risk index predictions. Based on current global research trends, risk index predictions are the next hot topics in the evaluation and prediction of difficult airways, and video laryngoscopes will continue to be a hot topic in this field.

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Anesthetic management of difficult paediatric airway in a case of large facial Neurofibromatosis – A case report

Nara,

Yalla

2023

IJCA

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Neurofibromatosis is tumor involving different parts of the body. Neurofibromatosis may potentially lead to difficult airway. These challenging cases need special considerations. Various anesthetic techniques and devices are described to secure the airway. In the present case we intubated a 11-year-old child with large left side facial tumor extending to the neck which had intraoral encroachment displacing the tongue and pharynx to the right. This is a case report illustrating intubation of difficult pediatrics airway using awake bronchoscopic intubation under conscious sedation.

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Temporomandibular joint ankylosis: “A pediatric difficult airway management”

Cited by 9 publications

References 11 publications

Evaluation of Temporomandibular Joint by Anesthetists in Florida When Conducting Orotracheal Intubation—A Pilot Study

Evaluation of Temporomandibular Joint by Anesthetists in Florida When Conducting Orotracheal Intubation—A Pilot Study

Global research trends in prediction of difficult airways: A bibliometric and visualization study

Anesthetic management of difficult paediatric airway in a case of large facial Neurofibromatosis – A case report

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