Retrograde Intubation in Temporomandibular Joint Ankylosis-A Double Guide Wire Technique
Vitha K Dhulkhed
Professor and Head of Anaesthesia, J.N.Medical College & KLESH & MRC, Belgaum.
Vitha K Dhulkhed Plot No. 7229, Sector No.10, Mal Maruti Extension, Belgaum- 590016, Karnataka State.
Source of Support: None, Conflict of Interest: None
Intubating a patient with temporomandibular joint ankylosis is always a challenge particularly when fibreoptic laryngoscope is not available. In a 20-year-old male patient we successfully carried out endotracheal intubation with 7 mm portex cuffed PVC tube with the help of two flexible J tipped guide wires. One guide wire was passed into the airway from cricothyroid puncture site and another from subcricoid site. Both were brought out through the nose. The first guide wire was used for retracting the epiglottis and the second as a guide for passing the endotracheal tube.