Anaesthetic Management of A Case of A Bilateral Temporo Mandibular Joint Ankylosis Secondary to Congenital Stuck Disc with left Frontal Intracerebral Space Occupying Lesion.
Journal Title: IJAR-Indian Journal of Applied Research - Year 2015, Vol 5, Issue 6
Abstract
The temporo mandibular joints are highly specialized bilateral joints comprising an articulation between temporal bone and mandible. It is a synovial hinge joint. Among the various causes of bilateral TM-J an kylosis congenital variant - stuck disk is common. Patients with bilateral TMJ ankylosis is a difficult airway situation with a severely restricted mouth opening, near total trismus and uncooperativeness while securing airway ,in awake state. Awake fibreroptic nasal intubation remains a gold standard method for intubation in such cases. Blind nasal intubation, retrograde intubation and tracheostomy are other alternatives, but are associated with significant morbidity. However in all methods of awake intubations patient cooperation is required. We are presenting a case of bilateral temporo -man dibular joint ankylosis secondary to congenital bilateral stuck disc with 5 mm mouth opening in a 30 year old female, who was posted for craniotomy and excision of frontal ICSOL. In this scenario the management of airway becomes a challenge and the patient was intubated successfully by awake fibreroptic nasal intubation and surgery continued with an uneventful recovery.
Authors and Affiliations
Dr. Hari Bhagavan, Dr. B. Kishan Sing Naik
Keywords
Related Articles
- EP ID EP536275
- DOI -
- Views 30
- Downloads 0
CLEFT PALATE LATERAL SYNECHIAE SYNDROME - A RARE CASE REPORT.
Oral synechiae is a rare craniofacial anomaly . This case report with ndings of 15 days old Preterm male baby with birth weight of 1.6 kg , was admitted in our institution with the ndings Of difculty in opening mouth...
An Analysis of Weak Form Efficiency in Sectoral Indices: A Study with a Special Reference to National Stock Exchange in India
Capital market is one of the significant phases of every financial institution and now it’s playing- a stra tegic role in a country’s economic growth. Apprehend that stock market is the backbone of our country it is esse...
A STUDY TO ASSESS THE EFFECTIVENESS OF STRUCTURED TEACHING PROGRAMME ON KNOWLEDGE REGARDING HAZARDS OF BEVERAGES TOXICITY AMONG STUDENTS IN A SELECTED NURSING COLLEGE AT CHENNAI
A study to assess the effectiveness of structured teaching programme on knowledge regarding hazards of beverages toxicity among students in a selected Nursing college at Chennai. The pre experimental research design was...
A STUDY ON PLACENTAL WEIGHT AND ITS ASSOCITION WITH MATERNAL AND NEONATAL CHARACTERISTICS
Placenta plays a vital role in normal fetal development and failure of placenta to gain weight and insufficiency of its function can result in fetal disorders. We performed this study to determine placental weight with b...
An exploratory study on the type of information regarding needs of parents having children with Autism Spectrum Disorder (ASD)
Autism is neurological developmental disorder which is characterized impairments in communication and socialization associated with repetitive and ritualistic behavior and because of these significant difficulties childr...