Craniofacial abnormalities are associated with mandibular hypoplasia, reduced mandibular space with overcrowding of soft tissues and maxillary hypoplasia. Decreased mouth opening and limitation in jaw protrusion are independent predictors of difficult airway in such patients. The relative difficult problem becomes even graver in the paediatric age group because of their small mouth opening and un-cooperativeness. A child with severe temporomandibular joint (TMJ) ankylosis presented with negligible mouth opening and required surgical correction under general anaesthesia. Successful intubation was performed with endotracheal tube size 5.5 mm using an adult 4.3 mm fiberoptic bronchoscope under inhalational as well as topical anaesthesia.
Journal of the College of Physicians and Surgeons Pakistan
(2012). Fiberoptic Intubation in a Paediatric Patient with Severe Temporomandibular Joint (TMJ) Ankylosis. Journal of the College of Physicians and Surgeons Pakistan, 22(12), 783-785.
Available at: http://ecommons.aku.edu/pakistan_fhs_mc_anaesth/66