EUROPEAN JOURNAL OF
PHARMACEUTICAL AND MEDICAL RESEARCH

( An ISO 9001:2015 Certified International Journal )

An International Peer Reviewed Journal for Pharmaceutical, Medical & Biological Sciences

An Official Publication of Society for Advance Healthcare Research (Reg. No. : 01/01/01/31674/16)

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 ISSN 2394-3211

Impact Factor: 7.065

 ICV - 79.57

Abstract

ANAESTHETIC CONSIDERATION OF TM JOINT ANKYLOSIS: A CASE REPORT

Dr. Neelam Meena, Dr. Vikas Rajpurohit, *Dr. Deepak Meena and Dr. Deepika Meena

ABSTRACT

The Temperomandibular joints are bilateral joints comprising an articulation between the cranium and the mandible. Its ankylosis presents unusaual problem. The commonest are inflamation and trauma which is often missed and noticed only when the mouth opening is severly restricted as a result of which chlid cannot bite and masticate solid foods. TMJ ankylosis especially with mandibular hypoplasia presents a serious problem for airway management. In children with long standing bilateral TMJ ankylosis during the active growth phase, a hypoplastic and retrognathic mandible with severe bird face deformity is noted and hence obstructive sleep apnoea is common problem. Airway obstruction is secondary to structural encroachment on or pharyngeal and hypopharyngeal lumen, subatmospheric interpharyngeal pressure and hypotonicity of oropharyngeal muscles.[1] Due to above patient may have anaesthetic risks.[2]

Keywords: Temperomandibular joint ankylosis, blind awake intubation, obstructive sleep apnoea, blind nasal intubation.


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Google Scholar Indian Science Publications InfoBase Index (In Process) SOCOLAR, China Research Bible, Fuchu, Tokyo. JAPAN International Society for Research activity (ISRA) Scientific Indexing Services (SIS) Polish Scholarly Bibliography Global Impact Factor (GIF) (Under Process) Universal Impact Factor International Scientific Indexing (ISI), UAE Index Copernicus CAS (A Division of American Chemical Society) USA (Under Process) Directory of Open Access Journal (DOAJ, Sweden, in process) UDLedge Science Citation Index CiteFactor Directory Of Research Journal Indexing (DRJI) Indian citation Index (ICI) Journal Index (JI, Under Process) Directory of abstract indexing for Journals (DAIJ) Open Access Journals (Under Process) Impact Factor Services For International Journals (IFSIJ) Cosmos Impact Factor Jour Informatics (Under Process) Eurasian Scientific Journal Index (ESJI) International Innovative Journal Impact Factor (IIJIF) Science Library Index, Dubai, United Arab Emirates Pubmed Database [NLM ID: 101669306] (Under Process) IP Indexing (IP Value 2.40) Web of Science Group (Under Process) Directory of Research Journals Indexing Scholar Article Journal Index (SAJI) International Scientific Indexing ( ISI ) Scope Database Academia

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