Anaesthetic considerations of temporomandibular joint ankylosis with obstructive sleep apnoea: a case report.
The peroperative management of a 4 1/2 yr old child having bilateral recurrent temporomandibular joint (TMJ) ankylosis and obstructive sleep apnoea (OSA) is presented here. From the anaesthesiologist's point of view, the patient demands special considerations as regards difficulty in intubation, high sensitivity to all central depressant drugs, awake extubation, and post-operative maintenance of a clear airway. It is to be concluded that these conditions call for strict adherence to the basic principles of airway management and close observation extending into the post-operative period.
Shah
F R
FR
Department of Anaesthesiology, T.N. Medical College and B.Y.L. Nair Charitable Hospital.
Sharma
K R
KR
Hilloowalla
R N
RN
Karandikar
A D
AD
D000768:Anesthesia, General; D000844:Ankylosis / Q000601:surgery*; D001178:Arthroplasty; D002492:Central Nervous System Depressants / Q000009:adverse effects; D002675:Child, Preschool; D006801:Humans; D007442:Intubation, Intratracheal; D008297:Male; D008334:Mandible / Q000601:surgery; D010102:Oxygen Inhalation Therapy; D011175:Positive-Pressure Respiration; D011229:Preanesthetic Medication; D012008:Recurrence; D012119:Respiration; D063173:Retrognathia / Q000150:complications; D020181:Sleep Apnea, Obstructive / Q000150:complications*; D013703:Temporal Muscle / Q000637:transplantation; D013705:Temporomandibular Joint Disorders / Q000601:surgery*; D014313:Trismus / Q000150:complications
D002492:Central Nervous System Depressants