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Year : 2022  |  Volume : 5  |  Issue : 2  |  Page : 88-91

Asleep fibreoptic bronchoscope-guided nasal intubation in a child with bilateral temporomandibular joint ankylosis

Department of Anaesthesiology, Smt. Kashibai Navale Medical College and General Hospital, Pune, Maharashtra, India

Correspondence Address:
Dr. Sumedha Mehta
Department of Anaesthesiology, Block Q, Flat No 1, Doctors Staff Quarters, Smt. Kashibai Navale Medical College and General Hospital, Narhe, Pune, Maharashtra
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/arwy.arwy_20_22

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Pierre Robin sequence (PRS) with bilateral temporomandibular joint (TMJ) ankylosis is a rare and challenging case for anaesthesiologists. A 6-year-old girl with PRS along with bilateral progressive TMJ ankylosis was scheduled for gap arthroplasty. Her mouth opening was <1 finger. Securing the airway in a syndromic child with mandibular hypoplasia was challenging. We performed an asleep fibreoptic bronchoscope (FOB)-guided nasotracheal intubation while retaining spontaneous breathing. Managing a difficult paediatric airway needs expertise. We believe that with the use of FOB, difficult airways can be successfully and safely managed.

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