International Journal of Science and Research (IJSR)

International Journal of Science and Research (IJSR)
Open Access | Fully Refereed | Peer Reviewed

ISSN: 2319-7064




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Case Studies | Medical Surgical | India | Volume 8 Issue 11, November 2019


Awake Blind Nasal Intubation as an Alternative to Fibreoptic Intubation

Dr Y V Pratap Kumar, Dr K Sudheer Kumar, Dr A Ramakrishna Rao, Dr A. Venkateswara Rao


Abstract: Temporomandibular joint (TMJ) ankylosis is a pathological condition where the mandible is fused to the fossa by bony or fibrotic tissues. This interferes with the mastication, speech, oral hygiene, and normal life activities, and can be potentially life threatening when struggling to acquire an airway in an emergency. Though it is not common, is an anaesthetic challenge, as it is a difficult airway situation with a moderate to a severely limited mouth opening. Fiber optic intubation is a gold standard for such cases, but it may not be readily available at all centers. Blind nasal intubation, Retrograde intubation and tracheostomy are the other alternatives, but they require patient cooperation and are associated with considerable morbidity. We are presenting a case of TMJ ankylosis which is not taken for anaesthesia in many of the corporate and tertiary centers. She was blind nasally Intubated, maintained and extubated successfully.


Keywords: Temporomandibular joint, Ankylosis, blind nasal intubation, fibreoptic


Edition: Volume 8 Issue 11, November 2019,


Pages: 1333 - 1335


How to Cite this Article?

Dr Y V Pratap Kumar, Dr K Sudheer Kumar, Dr A Ramakrishna Rao, Dr A. Venkateswara Rao, "Awake Blind Nasal Intubation as an Alternative to Fibreoptic Intubation", International Journal of Science and Research (IJSR), https://www.ijsr.net/get_abstract.php?paper_id=ART20202880, Volume 8 Issue 11, November 2019, 1333 - 1335

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