title: Fiberoptic intubation in a paediatric patient with severe temporomandibular joint (TMJ) ankylosis.
abstract: Craniofacial abnormalities are associated with mandibular hypoplasia, reduced mandibular space with overcrowding of soft tissues and maxillary hypoplasia. Decreased mouth opening and limitation in jaw protrusion are independent predictors of difficult airway in such patients. The relative difficult problem becomes even graver in the paediatric age group because of their small mouth opening and un-cooperativeness. A child with severe temporomandibular joint (TMJ) ankylosis presented with negligible mouth opening and required surgical correction under general anaesthesia. Successful intubation was performed with endotracheal tube size 5.5 mm using an adult 4.3 mm fiberoptic bronchoscope under inhalational as well as topical anaesthesia.
authors.affiliation: Department of Anaesthesia, The Aga Khan University Hospital, Karachi. asghar.ashraf@aku.edu
authors.forename: Ali
authors.initials: A
authors.lastname: Asghar
authors.forename: Faisal
authors.initials: F
authors.lastname: Shamim
authors.forename: Asiyah
authors.initials: A
authors.lastname: Aman
mesh_terms: D058109:Airway Management / Q000379:methods*; D000768:Anesthesia, General / Q000379:methods; D000844:Ankylosis / Q000209:etiology / Q000628:therapy*; D020680:Bronchoscopes; D002648:Child; D005260:Female; D005336:Fiber Optic Technology; D006801:Humans; D007442:Intubation, Intratracheal / Q000379:methods*; D008310:Malocclusion / Q000150:complications; D012720:Severity of Illness Index; D013705:Temporomandibular Joint Disorders / Q000150:complications* / Q000601:surgery; D016896:Treatment Outcome