Awake endotracheal retrograde intubation in restricted mouth opening: a ‘J’-tipped guide wire technique—a retrospective study

2013 ◽  
Vol 18 (4) ◽  
pp. 393-396 ◽  
Author(s):  
Nitin Bhola ◽  
Anendd Jadhav ◽  
Rajiv Borle ◽  
Gaurav Khemka ◽  
Abbas ali Ajani
Keyword(s):  
Retrospective Study ◽  
Guide Wire ◽  
Mouth Opening ◽  
Retrograde Intubation

Retrograde fiberoptic intubation

2020 ◽  
Author(s):  
Babak Babakhani ◽  
Mohammad Moharrami ◽  
Amir Jalal Abbasi
Keyword(s):  
Promising Result ◽  
Clinical Investigation ◽  
Guide Wire ◽  
Mouth Opening ◽  
Technical Note ◽  
New Technique ◽  
Fiberoptic Intubation ◽  
Direct Visualization ◽  
New Approach ◽  
Retrograde Intubation

This technical note aims to introduce a new approach for intubation of patients with restricted mouth opening in cases that conventional and fiberoptic-assisted endotracheal intubation are not possible. The proposed technique is a modification to the previously well-established retrograde intubation method. The main advantage of this new technique is the employment of fiberscope for direct visualization which eliminates the use of guide wire. The endotracheal tube enters through the nostril and is railroaded using the fiberscope as a guide. Using this new technique can prevent the complications of tracheostomy and the traditional retrograde intubation in patients that anterograde intubation is not feasible. The promising result of conducting the intubation with this approach can be considered the basis for future clinical investigation.

scholarly journals Retrograde intubation: An alternative way for the management of difficult airway

1970 ◽  
Vol 6 (4) ◽  
pp. 516-519 ◽  
Author(s):  
P Lama ◽  
BR Shrestha
Keyword(s):  
Tracheal Intubation ◽  
Fiber Optic ◽  
Guide Wire ◽  
Mouth Opening ◽  
Plate Removal ◽  
Flexible Fiber ◽  
Expert User ◽  
Retrograde Intubation ◽  
Lower Mandible ◽  
Difficult Situations

Inserting a retrograde wire into the pharynx through a cricothyroid puncture can facilitate tracheal intubation in difficult situations where either a flexible fiber-optic bronchoscope or an expert user of such a device is not available. Even in cases when fibropric can not be negotiated for the purpose,this method has been claimed to be useful to manage the airway. Some mouth opening is essential for the oral or nasal retrieval of the wire from the pharynx. Here, a case of post mandibular reconstructed wound infection required surgical debridement and plate removal from reconstructed lower mandible under general anesthesia. We retrieved the guide wire passed through a cricothyroid puncture and subsequently accomplished wire-guided oro-tracheal intubation. In the absence of a flexible fiber-optic bronchoscope, this technique is a very useful aid to intubate patients with limited mouth opening. Key words: cricothyrotomy, guide wire, retrograde endotracheal intubation (REI), surgery. doi: 10.3126/kumj.v6i4.1748     Kathmandu University Medical Journal (2008), Vol. 6, No. 4, Issue 24, 516-519   

Effectiveness of Combining Manual Therapy and Acupuncture on Temporomandibular Joint Dysfunction: A Retrospective Study

2007 ◽  
Vol 35 (02) ◽  
pp. 203-208 ◽  
Author(s):  
Byung-Cheul Shin ◽  
Chung-Hyo Ha ◽  
Yung-Sun Song ◽  
Myeong Soo Lee
Keyword(s):  
Retrospective Study ◽  
Temporomandibular Joint ◽  
Manual Therapy ◽  
Randomized Clinical Trials ◽  
Combined Treatment ◽  
Mouth Opening ◽  
Temporomandibular Joint Dysfunction ◽  
Future Studies ◽  
Before And After ◽  
Maximal Mouth Opening

This retrospective study investigated the effects of combining manual therapy and acupuncture on the pain and maximal mouth opening (MMO), which were associated with temporomandibular joint dysfunction (TMD). The 49 TMD patients (15 men, 34 women; mean age = 30.47 years, SD = 13.52 years) were treated with a combination of acupuncture and manual therapy two or three times a week at the hospital. The pain and maximal mouth opening were assessed before and after 1 and 4 weeks of treatment. The combination therapy produced significant changes in pain levels ( p < 0.001) and mouth opening ( p < 0.001). All pairwise non-parametric comparison showed a significant improvement in pain ( p < 0.05 for all pairs) and MMO ( p < 0.05 for all pairs). These findings suggest that combining manual therapy and acupuncture decreases the pain level and increases the MMO of TMD patients. However, future studies should further investigate the efficacy of combined treatment on TMD with more rigorous randomized clinical trials.

Complications of the Transmasseteric Anteroparotid Approach for Subcondylar Fractures: A Retrospective Study

2021 ◽  
pp. 194338752110169
Author(s):  
Jared Gilliland ◽  
Fabio Ritto ◽  
Paul Tiwana
Keyword(s):  
Retrospective Study ◽  
Facial Nerve ◽  
Internal Fixation ◽  
Closed Reduction ◽  
Open Reduction ◽  
Mouth Opening ◽  
Facial Nerve Paralysis ◽  
Nerve Paralysis ◽  
University Of Oklahoma ◽  
The University

Study Design: A retrospective analysis of patients with subcondylar fractures treated via a transmasseteric anteroparotid approach by the Oral and Maxillofacial Department at the University of Oklahoma. Objective: The goal of this study was to evaluate complications, morbidity, and safety with the transmasseteric anteroparotid approach for treatment of subcondylar fractures, and compare it to other findings previously reported in the literature. Methods: A retrospective study was conducted that consisted of 23 surgically treated patients in the past 2 years for subcondylar fractures. Only patients with pre-operative malocclusion and who underwent open reduction with internal fixation with the transmasseteric anteroparotid (TMAP) approach were included. Exclusion criteria included 1) patients treated with closed reduction 2) patients who failed the minimum of 1, 3, and 6-week post-operative visits. The examined parameters were the degree of mouth opening, occlusal relationship, facial nerve function, incidence of salivary fistula and results of imaging studies. Results: 20 of the surgically treated patients met the inclusion criteria. Two patients were excluded due to poor post-operative follow up and 1 was a revision of an attempted closed reduction by an outside surgeon that presented with pre-existing complications. There were no cases of temporary or permanent facial nerve paralysis reported. There were 3 salivary fistulas and 2 sialoceles, which were managed conservatively and resolved within 2 weeks, and 2 cases of inadequate post-surgical maximal incisal opening (<40 mm) were observed. Conclusion: The transmasseteric anteroparotid approach is a safe approach for open reduction and internal fixation of low condylar neck and subcondylar fractures, and it has minimal complications.

Evaluation of retrograde intubation in patients with limited mouth opening

2013 ◽  
Vol 27 (4) ◽  
pp. 631-632 ◽  
Author(s):  
Adnan Tüfek ◽  
Musa Can Uçan ◽  
Orhan Tokgöz ◽  
Feyzi Çelik ◽  
Serkan Ağaçayak
Keyword(s):  
Mouth Opening ◽  
Limited Mouth Opening ◽  
Retrograde Intubation

Guide Wire Traversal Test: Retrospective Study of Results with Fibrinolytic Therapy

1991 ◽  
Vol 2 (3) ◽  
pp. 339-342 ◽  
Author(s):  
Douglas C. Smith ◽  
Matthew J. McCormick ◽  
Dag A. Jensen ◽  
James C. Westengard
Keyword(s):  
Retrospective Study ◽  
Guide Wire ◽  
Fibrinolytic Therapy

scholarly journals Distribution of Oral Submucous Fibrosis Cases and Malignant Transformation Rate among Bhutanese Patients Treated at Jigme Dorji Wangchuck National Referral Hospital, Bhutan

2021 ◽  
Vol 4 (12) ◽  
pp. OR7-OR10
Author(s):  
Pratap Singh Tamang ◽  
Gyan Prasad Bajgai ◽  
Hari Prasad Pokhrel
Keyword(s):  
Retrospective Study ◽  
Malignant Transformation ◽  
Oral Submucous Fibrosis ◽  
Mouth Opening ◽  
Referral Hospital ◽  
Transformation Rate ◽  
Limited Mouth Opening ◽  
High Burden ◽  
Submucous Fibrosis ◽  
National Referral Hospital

BACKGROUND: Oral Submucous Fibrosis (OSMF) is a chronic, insidious, scarring disease of the mouth often involving the palate, oro-pharynx, pharynx, esophagus, tongue and the buccal mucosa which leads to ulceration, blanching and ultimately limited mouth opening. The aim of the study is to describe the age, gender and district-wise distribution of oral submucous fibrosis cases and to assess the malignant transformation rate among the patients with oral submucous fibrosis who were treated at Jigme Dorji Wangchuck National Referral Hospital, Thimphu, Bhutan.MATERIALS AND METHOD: This is a descriptive retrospective study. The patients were clinically diagnosed by examining their mouth and by measuring their mouth opening (Inter-incisal height). Patients who had less than 3 fingers mouth opening and diagnosed as Oral submucous fibrosis (OSMF) during these three-year period from 2018 to 2020 were considered for the study.RESULTS: There were 278 cases in total. Thimphu district had the maximum number of cases followed by Wangduephodrang and Samtse. Gasa and Haa districts had the minimum cases. More males were affected than females. The malignant transformation rate among these patients was 4.3%.CONCLUSION: Thimphu district had the highest proportion of OSMF cases and was almost equally distributed among genders. Over 90% of the patients reported improvement without surgery while the malignancy transformation rate was 4.3%. The study recommends conducting screening in districts with high burden of OSMF cases for early diagnosis and treatment.

Comparison of Videolaryngoscopy and Direct Laryngoscopy for Nasogastric Tube Placement

2020 ◽  
Vol 103 (7) ◽  
Keyword(s):  
Success Rate ◽  
Nasogastric Tube ◽  
Direct Laryngoscopy ◽  
Guide Wire ◽  
Mouth Opening ◽  
Conventional Technique ◽  
Tube Placement ◽  
Bleeding Complications ◽  
The Difference ◽  
Nasogastric Tube Placement

Background: Nasogastric tube (NGT) placement can be accomplished using a blind technique, but the failure rate is high, especially in anesthetized and tracheally intubated patients. Practically, mouth opening with a direct laryngoscopy is the alternative method attempted for guiding the NGT under direct visualization. However, limitations of this approach include the narrowing of the oral space and limited periglottic view, which should be resolved by using videolaryngoscope. Objective: To compare the success rate of a videolaryngoscope (C-MAC D-Blade; Karl Storz, Tuttlingen, Germany) with a direct laryngoscope for NGT insertion. Materials and Methods: Eighty-four adult patients were enrolled in the study and randomized into two groups, the videolaryngoscopy group and the direct laryngoscopy group. After induction of anesthesia and tracheal intubation, the participants in the videolaryngoscopy group and direct laryngoscopy group underwent laryngoscopy using a C-MAC D-Blade and Macintosh blade, respectively. The time from entrance of the NGT into the nostril until confirmation of the proper tip position was recorded and defined as successful insertion. The number of attempts was defined as the number of times the tube was withdrawn from the nostril and reinserted. Placement more than three times was defined as procedure failure. Bleeding was also observed. Results: The videolaryngoscopy group had a significantly higher success rate at the first attempt than the direct laryngoscopy group (78.57% versus 30.95%, respectively; p<0.001). The mean time for NGT insertion in the videolaryngoscopy group was significantly shorter than in the direct laryngoscopy group (80 versus 170 seconds, respectively, p<0.01). Direct laryngoscopy failed in five cases, however, all were successful by subsequent videolaryngoscopy. Videolaryngoscopy failed in two cases, but tube insertion was eventually successful by placement of a guide wire in the NGT. Bleeding occurred in 40.48% and 4.76% of patients in the direct laryngoscopy and videolaryngoscopy groups, respectively. The difference was statistically significant. Conclusion: Videolaryngoscopy is easier and faster for NGT placement and is associated with a lower incidence of bleeding complications and a higher success rate. Therefore, this method should be considered as an alternative option when encountering difficulty inserting the NGT using the conventional technique. Keywords: Videolaryngoscopy, Direct aryngoscopy, Nasogastric tube placement

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