Blind nasal intubation in a child with ankylosis of temporomandibular joint
Marhatta, M.N.; Acharya, S.P.
Nepal Medical College Journal Nmcj 10(4): 271-274
2008
ISSN/ISBN: 2676-1319 PMID: 19558070 Document Number: 615765
Blind nasal intubation has been one of the favoured methods of intubating the trachea in patients with restricted mouth opening and thus a difficult laryngoscopy and oro-tracheal intubation. Here, we describe airway management of patient who presented with traumatic ankylosis of the right temporomandibular joint and reduced mouth opening that was planned for elective release of the ankylosis and temporalis fascia flap. Successful blind nasotracheal intubation was done and after the surgery was completed, awake extubation was done and mouth opening was significantly increased. The recovery and the post-operative periods were uneventful.