scholarly journals Adult fiberoptic bronchoscope assisted tracheal intubation in a child with extremely limited mouth opening

2015 ◽  
Vol 2 (2) ◽  
pp. 80-83
Author(s):  
Binay Kumar Biswas ◽  
Pratiti Choudhuri ◽  
Balkrishna Bhattarai ◽  
Bikash Agarwal
Keyword(s):  
Tracheal Intubation ◽  
Nasotracheal Intubation ◽  
Mouth Opening ◽  
Emergency Situation ◽  
Adult Size ◽  
Fiberoptic Bronchoscope ◽  
Difficult Situation ◽  
Pediatric Airway ◽  
Limited Mouth Opening ◽  
Joint Ankylosis

Tracheal intubation under vision in a child with extremely limited mouth opening requires the aid of pediatric fiberoptic bronchoscope. Often there can be only adult size bronchoscope in a center leading to a difficult situation when compromised pediatric airway requires stabilization. Aim of this case report is to describe the technique and feasibility of use of an adult fiberoptic bronchoscope for tracheal intubation of in child with extremely inadequate mouth opening unsuitable for conventional intubation. A 9-year-old boy with temporo-mandibular joint ankylosis was admitted for exploration of mastoid abscess under general anesthesia. In the absence of a pediatric fiberoptic bronchoscope we performed nasotracheal intubation of the child with the aid of an adult bronchoscope while maintaining spontaneous breathing with inhalational anesthetics. In remote locations, in centers with inadequate/nonworking equipments and in emergency situation where appropriate equipments are not available, adult fiberoptic bronchoscope may be helpful for tracheal intubation of pediatric patient.Journal of Society of Anesthesiologists of Nepal 2015; 2(2): 80-83

scholarly journals Use of McGrath<sup>®</sup> MAC Video Laryngoscope for Nasotracheal Intubation in Patients for Whom Intubation Was Expected to Be Difficult Due to the Limited Mouth Opening

2018 ◽  
Vol 08 (07) ◽  
pp. 223-227
Author(s):  
Aiji Sato ◽  
Naoko Tachi ◽  
Yoko Okumura ◽  
Mayumi Hashimoto ◽  
Masahiro Yamada ◽  
...  
Keyword(s):  
Nasotracheal Intubation ◽  
Mouth Opening ◽  
Video Laryngoscope ◽  
Limited Mouth Opening

scholarly journals Treatment of Ankylosis in Children Associated with Osteogenic Distraction: Literature Review and Case Report

2018 ◽  
Vol 2 (3) ◽  
pp. 1-14
Author(s):  
João LC
Keyword(s):  
Mouth Opening ◽  
Joint Work ◽  
Limited Mouth Opening ◽  
Mandibular Growth ◽  
Tmj Ankylosis ◽  
Temporomandibular Joint Ankylosis ◽  
Dentofacial Deformities ◽  
Success Of Treatment ◽  
Joint Ankylosis ◽  
Arthroplasty Surgery

Introduction: Temporomandibular joint ankylosis is defined as a bone or fibrous adhesion of the anatomical joint and its components in the glenoid fossa, and it is accompanied by limited mouth opening, causing difficulties in chewing, speaking and oral hyg iene, which may influence mandibular growth. This condition in children may or may not be associated with a disease, syndrome or trauma. Method: To review the literature on the treatment of ATM ankylosis associated with micrognathia in children with osteo genic distraction, and to report two clinical cases of children with unilateral or bilateral ankylosis with mandibular micrognathia. Methods: To present a broad research on the etiology, risk factors and complications of this condition as the options of t reatments for the ankylosis of TMJ in children by Buccomaxillofacial Surgery treated with gap arthroplasty surgery without interposition of materials, with the installation of osteogenic distractors for the correction of mandibular deformities. Results: T he cases presented here continue to be treated and monitored since their development is not yet complete, but the procedures performed are successful without presenting recurrences so far. Conclusions: Osteogenic distraction is one of the treatments that can treat ankylosis in children with success. However, the successful treatment of children with TMJ ankylosis with dentofacial deformities is slow and prolonged, and the earlier it is initiated, the gr eater the success of treatment completion, always depending on the joint work of a multidisciplinary team, as well as family support and patient collaboration.

scholarly journals "Truview PCD-video laryngoscope aided nasotracheal intubation in case series of orofacial malignancy with limited mouth opening"

2015 ◽  
Vol 31 (2) ◽  
pp. 256 ◽  
Author(s):  
KalpanaRajendra Kulkarni ◽  
RajaramShankar Patil ◽  
SamratSukumar Madanaik ◽  
ArchitaRajaram Patil
Keyword(s):  
Nasotracheal Intubation ◽  
Mouth Opening ◽  
Case Series ◽  
Video Laryngoscope ◽  
Limited Mouth Opening

Concomitant Temporomandibular Joint Ankylosis and Maxillomandibular Fusion in a Child with Klippel- Feil Syndrome: A Case Report

2018 ◽  
Vol 42 (5) ◽  
pp. 386-390
Author(s):  
Deepika Pai ◽  
Abhay T Kamath ◽  
Pushpa Kini ◽  
Manish Bhagania ◽  
Saurabh Kumar
Keyword(s):  
Oral Health ◽  
Temporomandibular Joint ◽  
Cervical Vertebrae ◽  
Clinical Signs ◽  
Mouth Opening ◽  
Facial Asymmetry ◽  
Limited Mouth Opening ◽  
Oral Manifestation ◽  
Temporomandibular Joint Ankylosis ◽  
Joint Ankylosis

Klippel-Feil syndrome (KFS) is classically characterized by fusion of any of the two of seven cervical vertebrae. It is identified by the presence of a triad of clinical signs including short neck, limitation of head and neck movements and low posterior hairline. Unusual bony malformations leading to facial asymmetry is the most common oral manifestation associated with KFS. Such maxillomandibular fusion can also result in restricted mouth opening in children. It's a challenge to provide complete rehabilitation in such children. This paper presents a report of a type II KFS with both maxillomandibular fusion and temporomandibular joint ankylosis which led to the limited mouth opening in a six-year-old child. Also, the child showed an inadequate development of speech, facial asymmetry and compromised oral health owing to the restricted mouth opening. After thorough investigations, surgery was done which restored limited mouth opening which led to normalizing of speech and oral health.

scholarly journals Nasotracheal intubation in patients with limited mouth opening: a comparison between fibreoptic intubation and the Trachway®

Anaesthesia ◽  
2015 ◽  
Vol 71 (1) ◽  
pp. 31-38 ◽  
Author(s):  
M. C. Lee ◽  
K. Y. Tseng ◽  
Y. C. Shen ◽  
C. H. Lin ◽  
C. W. Hsu ◽  
...  
Keyword(s):  
Fibreoptic Intubation ◽  
Nasotracheal Intubation ◽  
Mouth Opening ◽  
Limited Mouth Opening

“Light wand-guided nasotracheal intubation in patients with limited mouth opening: a comparison with blind nasal intubation”

2016 ◽  
Vol 3 (2) ◽  
pp. 191 ◽  
Author(s):  
Subhash ◽  
Vipin Kumar Dhama ◽  
Bhagat Singh ◽  
Yogesh Manik ◽  
Nikhil Dewan
Keyword(s):  
Nasotracheal Intubation ◽  
Mouth Opening ◽  
Nasal Intubation ◽  
Limited Mouth Opening

scholarly journals Fluoroscope-aided retrograde placement of guide wire for tracheal intubation in patients with limited mouth opening

2005 ◽  
Vol 94 (1) ◽  
pp. 128-131 ◽  
Author(s):  
B.K. Biswas ◽  
P. Bhattacharyya ◽  
S. Joshi ◽  
U.R. Tuladhar ◽  
S. Baniwal
Keyword(s):  
Tracheal Intubation ◽  
Guide Wire ◽  
Mouth Opening ◽  
Limited Mouth Opening
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