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

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 A novel treatment for limited mouth opening due to facial fibrosis: A case series

2018 ◽  
Vol 78 (1) ◽  
pp. 190-192 ◽  
Author(s):  
Kara Hoverson ◽  
Tracy Love ◽  
Thomas K. Lam ◽  
Jason D. Marquart
Keyword(s):  
Mouth Opening ◽  
Case Series ◽  
Limited Mouth Opening ◽  
Novel Treatment

scholarly journals Anesthetic Considerations for Masticatory Muscle Tendon-Aponeurosis Hyperplasia: A Report of 24 Cases

2012 ◽  
Vol 59 (2) ◽  
pp. 87-89 ◽  
Author(s):  
Ikumi Yamamoto ◽  
Satoki Inoue ◽  
Masahiko Kawaguchi ◽  
Tetsuji Kawakami ◽  
Tadaaki Kirita ◽  
...  
Keyword(s):  
Fiber Optic ◽  
Mouth Opening ◽  
Case Series ◽  
Masticatory Muscles ◽  
Masticatory Muscle ◽  
Limited Mouth Opening ◽  
Rapid Induction ◽  
Airway Problem ◽  
Anesthetic Considerations ◽  
Macintosh Laryngoscopy

Masticatory muscle tendon-aponeurosis hyperplasia (MMTAH) is a new disease entity characterized by limited mouth opening due to contracture of the masticatory muscles, resulting from hyperplasia of tendons and aponeuroses. In this case series, we report what methods of airway establishment were conclusively chosen after rapid induction of anesthesia. We had 24 consecutive patients with MMTAH who underwent surgical release of its contracture under general anesthesia. Rapid induction of anesthesia with propofol and rocuronium was chosen for all the cases. In 7 cases, intubation using the Macintosh laryngoscopy was attempted; however, 2 of those cases failed to be intubated on the first attempt. Finally, intubation using the McCoy laryngoscopy or fiber-optic intubation was alternatively used in these 2 cases. In 7 cases, the Trachlight was used. In the remaining 10 cases, fiber-optic intubation was used. Limited mouth opening in patients with MMTAH did not improve with muscular relaxation. “Square mandible” has been reported to be one of the clinical features in this disease; however, half of these 24 patients lacked this characteristic, which might affect a definitive diagnosis of this disease for anesthesiologists. An airway problem in patients with MMTAH should not be underestimated, which means that other intubation methods rather than direct laryngoscopy had better be considered.

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 Difficult Airway Management in a Patient With Nicolaides-Baraitser Syndrome Who Had a Small Jaw and Limited Mouth Opening

2020 ◽  
Vol 68 (1) ◽  
pp. 47-49
Author(s):  
Saori Taharabaru ◽  
Takehito Sato ◽  
Kimitoshi Nishiwaki
Keyword(s):  
Genetic Disorder ◽  
Mouth Opening ◽  
Video Laryngoscope ◽  
Treacher Collins Syndrome ◽  
Fiberoptic Intubation ◽  
Facial Features ◽  
Limited Mouth Opening ◽  
Oral Intubation ◽  
First Case ◽  
Difficult Airways

Nicolaides-Baraitser syndrome (NCBRS) is a rare congenital genetic disorder characterized by distinctive facial features similar to Treacher Collins syndrome (TCS). We report the first case of successful nasal fiberoptic intubation in a patient with NCBRS with micrognathia and limited mouth opening due to trismus. A 9-year-old girl with NCBRS and dental caries was scheduled to undergo general anesthesia for a dental extraction. Initial attempts at oral intubation using a video laryngoscope were unsuccessful. However, subsequent attempts at nasal intubation using a flexible fiberoptic scope were successful. This report highlights that patients with NCBRS may present with difficult airways to manage and intubate.

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 The importance of videolaryngoscopy in maxillofacial practice associated with restricted mouth opening in traumatized patients

2021 ◽  
Vol 10 (2) ◽  
pp. e12010212178
Author(s):  
Leonardo Alan Delanora ◽  
Ana Maira Pereira Baggio ◽  
Nathália Januario de Araujo ◽  
William Phillip Pereira da Silva ◽  
Leonardo Perez Faverani ◽  
...  
Keyword(s):  
Clinical Case ◽  
Mouth Opening ◽  
Orotracheal Intubation ◽  
Video Laryngoscope ◽  
Intubation Time ◽  
Success Rates ◽  
Trauma Victim ◽  
Limited Mouth Opening ◽  
Video Cameras ◽  
Team Planning

Orotracheal intubation is considered the most delicate maneuver performed by anesthesiologists, and failure to manage the airways is one of the main causes of possible complications that can be catastrophic during its performance, thus requiring good team planning. Anatomical and / or physiological characteristics, such as limited mouth opening, a condition often found in patients suffering from fractures of the zygomatic arch or who have some abnormality in the temporomandibular joint (TMJ), can characterize a difficult airway, which demands attention greatest of the professional. Therefore, in order to overcome the obstacles that may occur during a difficult or unexpected intubation, new tools have been used, such as videolaryngoscopy in which an intubation device containing miniature video cameras is used in order to allow the operator has an indirect view of the glottis to increase success rates and decrease intubation time. The aim of the present study is to report a clinical case of a trauma victim, with limited mouth opening, who underwent intubation with the aid of a video laryngoscope after failed attempts at conventional intubation.

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