Airway challenges in bilateral temporomandibular joint ankylosis with adenoid hypertrophy: a case report
Temporomandibular joint ankylosis is one of the most challenging airway disorders associated with varying anatomical abnormalities like adenotonsillar hypertrophy, craniofacial malformations, macroglossia, etc. This case highlights the intubation difficulties confronted during the airway management...
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| Format: | Article |
| Language: | English |
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Elsevier
2019-07-01
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| Series: | Journal of Oral Biology and Craniofacial Research |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2212426819300119 |
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| author | Gaurav Jain Amiya Kumar Barik Amrita Banerjee Naveen S Ashi Chug |
| author_facet | Gaurav Jain Amiya Kumar Barik Amrita Banerjee Naveen S Ashi Chug |
| author_sort | Gaurav Jain |
| collection | DOAJ |
| description | Temporomandibular joint ankylosis is one of the most challenging airway disorders associated with varying anatomical abnormalities like adenotonsillar hypertrophy, craniofacial malformations, macroglossia, etc. This case highlights the intubation difficulties confronted during the airway management of a 10-year-old girl presenting lately with bilateral temporomandibular joint ankylosis, hypoplastic mandible, and adenoid hypertrophy. This patient was intubated successfully by using a suction catheter assembly to negotiate the endotracheal tube across the adenoid, and an unmatched-size flexible intubation fiberscope through a “separate insertion” technique and external laryngeal manipulation. This case emphasises the significance of a comprehensive preoperative evaluation in preparing the anaesthetic plan of an anticipated difficult airway in a paediatric population, having diverse anatomical hurdles presenting concurrently. |
| format | Article |
| id | doaj-art-c25ee211127a4706ba1c16a481fdee0d |
| institution | Kabale University |
| issn | 2212-4268 |
| language | English |
| publishDate | 2019-07-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Oral Biology and Craniofacial Research |
| spelling | doaj-art-c25ee211127a4706ba1c16a481fdee0d2024-11-23T06:27:46ZengElsevierJournal of Oral Biology and Craniofacial Research2212-42682019-07-0193256258Airway challenges in bilateral temporomandibular joint ankylosis with adenoid hypertrophy: a case reportGaurav Jain0Amiya Kumar Barik1Amrita Banerjee2Naveen S3Ashi Chug4Department of Anaesthesiology and Critical Care, All India Institute of Medical Sciences, Rishikesh, 249203, Uttarakhand, IndiaDepartment of Anaesthesiology and Critical Care, All India Institute of Medical Sciences, Rishikesh, 249203, Uttarakhand, India; Corresponding author. Department of Anaesthesiology and Critical care, All India Institute of Medical Sciences, Rishikesh, 249203, Uttarakhand, IndiaDepartment of Anaesthesiology and Critical Care, All India Institute of Medical Sciences, Rishikesh, 249203, Uttarakhand, IndiaDepartment of Anaesthesiology and Critical Care, All India Institute of Medical Sciences, Rishikesh, 249203, Uttarakhand, IndiaDepartment of Dentistry and Craniomaxillofacial Surgery, All India Institute of Medical Sciences, Rishikesh, 249203, Uttarakhand, IndiaTemporomandibular joint ankylosis is one of the most challenging airway disorders associated with varying anatomical abnormalities like adenotonsillar hypertrophy, craniofacial malformations, macroglossia, etc. This case highlights the intubation difficulties confronted during the airway management of a 10-year-old girl presenting lately with bilateral temporomandibular joint ankylosis, hypoplastic mandible, and adenoid hypertrophy. This patient was intubated successfully by using a suction catheter assembly to negotiate the endotracheal tube across the adenoid, and an unmatched-size flexible intubation fiberscope through a “separate insertion” technique and external laryngeal manipulation. This case emphasises the significance of a comprehensive preoperative evaluation in preparing the anaesthetic plan of an anticipated difficult airway in a paediatric population, having diverse anatomical hurdles presenting concurrently.http://www.sciencedirect.com/science/article/pii/S2212426819300119Adenoid hypertrophyFlexible intubation fiberscopeSuction catheterTemporomandibular joint ankylosis |
| spellingShingle | Gaurav Jain Amiya Kumar Barik Amrita Banerjee Naveen S Ashi Chug Airway challenges in bilateral temporomandibular joint ankylosis with adenoid hypertrophy: a case report Journal of Oral Biology and Craniofacial Research Adenoid hypertrophy Flexible intubation fiberscope Suction catheter Temporomandibular joint ankylosis |
| title | Airway challenges in bilateral temporomandibular joint ankylosis with adenoid hypertrophy: a case report |
| title_full | Airway challenges in bilateral temporomandibular joint ankylosis with adenoid hypertrophy: a case report |
| title_fullStr | Airway challenges in bilateral temporomandibular joint ankylosis with adenoid hypertrophy: a case report |
| title_full_unstemmed | Airway challenges in bilateral temporomandibular joint ankylosis with adenoid hypertrophy: a case report |
| title_short | Airway challenges in bilateral temporomandibular joint ankylosis with adenoid hypertrophy: a case report |
| title_sort | airway challenges in bilateral temporomandibular joint ankylosis with adenoid hypertrophy a case report |
| topic | Adenoid hypertrophy Flexible intubation fiberscope Suction catheter Temporomandibular joint ankylosis |
| url | http://www.sciencedirect.com/science/article/pii/S2212426819300119 |
| work_keys_str_mv | AT gauravjain airwaychallengesinbilateraltemporomandibularjointankylosiswithadenoidhypertrophyacasereport AT amiyakumarbarik airwaychallengesinbilateraltemporomandibularjointankylosiswithadenoidhypertrophyacasereport AT amritabanerjee airwaychallengesinbilateraltemporomandibularjointankylosiswithadenoidhypertrophyacasereport AT naveens airwaychallengesinbilateraltemporomandibularjointankylosiswithadenoidhypertrophyacasereport AT ashichug airwaychallengesinbilateraltemporomandibularjointankylosiswithadenoidhypertrophyacasereport |