title: Temporomandibular joint interpositional gap arthroplasty under intravenous (I.V) conscious sedation.
abstract: Ankylosis may be defined as the fusion of joint surfaces. Temporomandibular joint (TMJ) ankylosis is a condition that may cause chewing, digestion, speech, esthetic and psychological disorders. It is a devastating disorder resulting in inability to open the mouth. As a result of this, General anaesthesia, is very difficult to administer because laryngeal inlet is not directly visualized. Even the blind nasal intubation is difficult because of small mandible and tongue fall following relaxation. There are various techniques to overcome these challenges. At times these techniques fail and tracheostomy has to be done. All the risks associated with difficult intubation, and general anaesthesia can be avoided if the surgery is done under conscious sedation. Conscious sedation, a simple but safe and effective method of anaesthesia is described here, which allows successful temporomandibular joint interpositional gap arthroplasty.
authors.affiliation: Dept. of Anesthesiology, Chattrapati Shahuji Maharaj Medical University, Lucknow, India  ; Dept. of Anesthesiology, Chattrapati Shahuji Maharaj Medical University (Formerly King George Medical University), Lucknow, Uttar Pradesh, India.
authors.forename: Satish
authors.initials: S
authors.lastname: Dhasmana
authors.forename: Vibha
authors.initials: V
authors.lastname: Singh
authors.forename: Shadab
authors.initials: S
authors.lastname: Mohammad
authors.forename: U S
authors.initials: US
authors.lastname: Pal
keywords: Conscious sedation; Temporomandibular joint ankylosis; Temporomandibular joint interpositional gap arthroplasty