title: Modified retrograde intubation in a patient with difficult airway.
abstract: We report a modified technique of retrograde endotracheal intubation in a patient with limited motility at the atlanto-occipital joint, temporomandibular joint, and cervical spine, presenting for closure of a large oronasal fistula. Despite more recent advances in intubation techniques and technology, retrograde intubation still deserves a place in the anesthetist's armamentarium for the management of the difficult airway.
authors.affiliation: Department of Anesthesia, Dubai Hospital, PO Box 7272, Dubai, United Arab Emirates. rmorais@emirates.net.ae
authors.forename: R J
authors.initials: RJ
authors.lastname: Morais
authors.forename: S N
authors.initials: SN
authors.lastname: Kotsev
authors.forename: S J
authors.initials: SJ
authors.lastname: Hana
mesh_terms: D001269:Atlanto-Occipital Joint / Q000293:injuries* / Q000503:physiopathology; D002574:Cervical Vertebrae / Q000293:injuries*; D006801:Humans; D007442:Intubation, Intratracheal / Q000295:instrumentation / Q000379:methods*; D008297:Male; D008337:Mandibular Fractures / Q000150:complications*; D008875:Middle Aged; D009104:Multiple Trauma / Q000150:complications*; D009668:Nose Diseases / Q000150:complications* / Q000601:surgery*; D016155:Oral Fistula / Q000150:complications* / Q000601:surgery*; D011187:Posture; D016059:Range of Motion, Articular; D016156:Respiratory Tract Fistula / Q000150:complications* / Q000601:surgery*; D016103:Spinal Fractures / Q000150:complications*; D013706:Temporomandibular Joint Dysfunction Syndrome / Q000150:complications*