Unilateral Tmj Ankylosis in A Child-An Enduring Case For Surgeon And Anesthetist

Abstract

Temporomandibular joint ankylosis is an anticipated difficult surgery especially when it is performed in children and same is in the intubation scenario too.TMJ ankylosis creates a difficult situation on the operating table for a surgeon. When it comes to anesthetist the awake fiber optic intubation is the safest approach to secure an airway in such a case. This is a case of unilateral temporomandibular joint ankylosis scheduled for interpositional arthroplasty. But due to non-availability of adequate sizedfiber optic scope, a flexible ureteroscope to facilitate nasotracheal intubation was used.For the interpositional arthroplasty a costocondral graft was used for this case.

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