Two Airway Management Techniques in a Pediatric Patient with Temporomandibular Joint Ankylosis: Two-stage Fiberoptic Scope Intubation Technique and Video Laryngoscope-guided Conversion from Nasotracheal to Orotracheal Intubation — A Case Report

Authors

  • Michael Ryan A. Manera Department of Anesthesiology, Philippine General Hospital, University of the Philippines Manila
  • Anna Margarita F. Hilvano-Corsiga Department of Anesthesiology, Philippine General Hospital, University of the Philippines Manila

DOI:

https://doi.org/10.47895/amp.v56i18.5677

Keywords:

ectodermal dysplasia, TMJ ankylosis, airway management

Abstract

Ankyloblepharon-ectodermal dysplasia-clefting (AEC) syndrome is an ectodermal dysplasia presenting with cleft lip or palate and congenital filiform eyelid fusion. This is a case report of a 1-year and 6-month-old girl with AEC syndrome presenting with temporomandibular joint ankylosis who underwent release of temporomandibular joint ankylosis, coronoidectomy, bilateral cheiloplasty, Tajima rhinoplasty, and repair of lower lip pits under general anesthesia. Fiberoptic nasotracheal intubation was done successfully using a two-stage technique originally described by Stiles. As necessitated by the surgical plan, video laryngoscope guidance was subsequently used to facilitate the conversion from nasotracheal to orotracheal intubation.

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Published

2022-10-12

How to Cite

1.
Two Airway Management Techniques in a Pediatric Patient with Temporomandibular Joint Ankylosis: Two-stage Fiberoptic Scope Intubation Technique and Video Laryngoscope-guided Conversion from Nasotracheal to Orotracheal Intubation — A Case Report. Acta Med Philipp [Internet]. 2022 Oct. 12 [cited 2025 Apr. 7];56(18). Available from: https://actamedicaphilippina.upm.edu.ph/index.php/acta/article/view/5677