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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2008-01-01
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doaj-500a92d06dae4615819078fb9f82798d2020-11-25T03:50:04ZengThieme Medical Publishers, Inc.Indian Journal of Plastic Surgery0970-03581998-376X2008-01-01412175182Surgery of temporomandibular joint under local anaesthesiaGajiwala KalpeshTemporomandibular 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.http://www.ijps.org/article.asp?issn=0970-0358;year=2008;volume=41;issue=2;spage=175;epage=182;aulast=GajiwalaLocal anaesthesiatemporomandibular joint ankylosistemporomandibular joint arthroplasty |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Gajiwala Kalpesh |
spellingShingle |
Gajiwala Kalpesh Surgery of temporomandibular joint under local anaesthesia Indian Journal of Plastic Surgery Local anaesthesia temporomandibular joint ankylosis temporomandibular joint arthroplasty |
author_facet |
Gajiwala Kalpesh |
author_sort |
Gajiwala Kalpesh |
title |
Surgery of temporomandibular joint under local anaesthesia |
title_short |
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_sort |
surgery of temporomandibular joint under local anaesthesia |
publisher |
Thieme Medical Publishers, Inc. |
series |
Indian Journal of Plastic Surgery |
issn |
0970-0358 1998-376X |
publishDate |
2008-01-01 |
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. |
topic |
Local anaesthesia temporomandibular joint ankylosis temporomandibular joint arthroplasty |
url |
http://www.ijps.org/article.asp?issn=0970-0358;year=2008;volume=41;issue=2;spage=175;epage=182;aulast=Gajiwala |
work_keys_str_mv |
AT gajiwalakalpesh surgeryoftemporomandibularjointunderlocalanaesthesia |
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