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Surgery of temporomandibular joint under local anaesthesia

Temporomandibular joint ankylosis is a debilitating disorder arising from an inability to open the mouth. This leads to poor nutrition, poor dental hygiene, and stunted growth. Anaesthesia, especially general anaesthesia, is very difficult to administer. There is a lack of direct visualization of th...

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Detalles Bibliográficos
Autor principal: Gajiwala, Kalpesh J.
Formato: Texto
Lenguaje:English
Publicado: Medknow Publication 2008
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2740520/
https://www.ncbi.nlm.nih.gov/pubmed/19753260
http://dx.doi.org/10.4103/0970-0358.44941
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author Gajiwala, Kalpesh J.
author_facet Gajiwala, Kalpesh J.
author_sort Gajiwala, Kalpesh J.
collection PubMed
description Temporomandibular joint ankylosis is a debilitating disorder arising from an inability to open the mouth. This leads to poor nutrition, poor dental hygiene, and stunted growth. Anaesthesia, especially general anaesthesia, is very difficult to administer. There is a lack of direct visualization of the vocal cords, tongue fall following relaxation, and an already narrowed passage due to a small mandible, which makes even the blind nasal intubation difficult. There are various techniques described in literature to overcome these challenges, failing which, one needs to do tracheostomy. All the risks of difficult intubation and general anaesthesia can be avoided if the surgery is done under local anaesthesia. A simple but effective method of successful local anaesthesia is described, which allows successful temporomandibular joint reconstruction.
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spelling pubmed-27405202009-09-14 Surgery of temporomandibular joint under local anaesthesia Gajiwala, Kalpesh J. Indian J Plast Surg Original Article Temporomandibular joint ankylosis is a debilitating disorder arising from an inability to open the mouth. This leads to poor nutrition, poor dental hygiene, and stunted growth. Anaesthesia, especially general anaesthesia, is very difficult to administer. There is a lack of direct visualization of the vocal cords, tongue fall following relaxation, and an already narrowed passage due to a small mandible, which makes even the blind nasal intubation difficult. There are various techniques described in literature to overcome these challenges, failing which, one needs to do tracheostomy. All the risks of difficult intubation and general anaesthesia can be avoided if the surgery is done under local anaesthesia. A simple but effective method of successful local anaesthesia is described, which allows successful temporomandibular joint reconstruction. Medknow Publication 2008 /pmc/articles/PMC2740520/ /pubmed/19753260 http://dx.doi.org/10.4103/0970-0358.44941 Text en © Indian Journal of Plastic Surgery http://creativecommons.org/licenses/by/2.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Gajiwala, Kalpesh J.
Surgery of temporomandibular joint under local anaesthesia
title Surgery of temporomandibular joint under local anaesthesia
title_full Surgery of temporomandibular joint under local anaesthesia
title_fullStr Surgery of temporomandibular joint under local anaesthesia
title_full_unstemmed Surgery of temporomandibular joint under local anaesthesia
title_short Surgery of temporomandibular joint under local anaesthesia
title_sort surgery of temporomandibular joint under local anaesthesia
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2740520/
https://www.ncbi.nlm.nih.gov/pubmed/19753260
http://dx.doi.org/10.4103/0970-0358.44941
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