麻醉与临床研究
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Airway Management in Temporomandibular Joint Ankylosis-Using Fibreoptic Bronchoscope: A Short Communication

Priya Pakal, Tejaswi GM

Any trauma leading to haemarthrosis in Temporomandibular Joint (TMJ) may proceed to fibrosis and develop bony ankylosis. Causes of TMJ ankylosis may be congenital, trauma, infection, idiopathic and less frequently, rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, fibrodysplasia ossificans, etc. Awake intubation is the choice in difficult airway with fibreoptic intubation being gold standard technique. This article focuses on problems in managing anticipated difficult airway. Choanal atresia is a concern when encountered during airway management unknowingly. As a result, either a blind method or fiber optic bronchoscopy must be used for the intubation. The only available method for securing the airway is tracheostomy when the practitioner has experience of these techniques.