The Temporomandibular Joint and Tracheal Intubation

Redick, Lloyd F.

doi:10.1213/00000539-198707000-00019

Cited by 19 publications

(13 citation statements)

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“…A recent update of guidelines for the management of the difficult airway by the American Society of Anesthesiologists specifically recommends measures to evaluate temporomandibular joint (TMJ) function preoperatively. 1,2 However, the literature in this area is limited, with only a small number of published case reports, [3][4][5][6][7][8][9] and even fewer systematic studies. [10][11][12][13] During endotracheal intubation the anesthesiologist typically at-tempts both rotation and translation of the TMJ to allow for the maximum opening of the patient's mouth.…”

mentioning

confidence: 99%

Intubation Risk Factors for Temporomandibular Joint/Facial Pain

Martin¹,

Wilson²,

Ross³

et al. 2007

Anesthesia Progress

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Endotracheal intubation has been proposed as a risk factor for temporomandibular joint dysfunction (TMD) in a limited number of published case reports and systematic studies. Symptoms may result from forces applied with the laryngoscope, or manually in an attempt to complete the intubation, and may be related to the duration in which temporomandibular joint (TMJ) structures are stressed. The objective of this study was to examine risk factors for TMD complaints associated with endotracheal intubation. One hundred twenty-two patients who underwent endotracheal intubation for surgery at the University of Washington Medical Center participated. Exclusions included surgery of the head or neck, cognitive deficit, or emergency surgery. Subjects were assessed presurgically, and at 7 and 14 days postoperatively. Gender, interincisal distance, and age were found to be significantly associated with TMD symptoms lasting as long as 14 days following intubation. For both TMD pain and TMD nonpain symptoms, the most reliable predictor of a complaint following intubation was a history of TMD complaints within a year preoperatively. Any association between endotracheal intubation and the development of short-term TMD symptoms is likely to be found in patients with prior report of such conditions, and we therefore recommend a review of TMD complaint history when planning general anesthesia.

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confidence: 99%

Intubation Risk Factors for Temporomandibular Joint/Facial Pain

Martin¹,

Wilson²,

Ross³

et al. 2007

Anesthesia Progress

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“…One report showed that an approximately 30-mm oral opening could be achieved with lateral manipulation of the mandible in one of the women [4]. The other report showed that the patient could readily open her mouth under general anesthesia, but forward thrust of the mandible was noted [5]. The jaw of the present patient may incidentally become unlocked, and so she could voluntarily open her mouth.…”

Section: To the Editormentioning

confidence: 59%

“…Two case reports of women with mouth-opening difficulty described jaw locking on anesthesia [4,5]. One report showed that an approximately 30-mm oral opening could be achieved with lateral manipulation of the mandible in one of the women [4].…”

Section: To the Editormentioning

confidence: 99%

Difficult tracheal intubation using the Airway Scope in a patient with unexpected mouth-opening difficulty

2011

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“…Several methods help to diagnose patients predicted to have difficult airway before anesthesia [2,3]. The gold standard to deal with difficult intubation is Fiberoptic intubation using Fiberoptic bronchoscope [4].…”

Section: Introductionmentioning

confidence: 99%

A Randomized Prospective Study Comparing C-Mac D-Blade, Airtraq, and Fiberoptic Bronchoscope for Intubating Patients with Anticipated Difficult Airway

Marouf¹,

Khalil²

2017

J Anesth Clin Res

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Background: Several complications may be correlated with difficult airway up to death. Fiberoptic bronchoscope is the gold stander to deal with difficult intubation. Airtraq laryngoscope and C-MAC® video laryngoscope are new devices that are used successfully for tracheal intubation. We compared using C-MAC D-blade video laryngoscope, Airtraq laryngoscope, and Fiberoptic bronchoscope for intubation of patient likely to have difficult intubation.

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The Temporomandibular Joint and Tracheal Intubation

Cited by 19 publications

References 0 publications

Intubation Risk Factors for Temporomandibular Joint/Facial Pain

Intubation Risk Factors for Temporomandibular Joint/Facial Pain

Difficult tracheal intubation using the Airway Scope in a patient with unexpected mouth-opening difficulty

A Randomized Prospective Study Comparing C-Mac D-Blade, Airtraq, and Fiberoptic Bronchoscope for Intubating Patients with Anticipated Difficult Airway

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