{"title":"The Use of Flexible Fiberoptic Cystoscope for Difficult Endotracheal Intubation in TMJ Ankylosis Patients: A Case Series.","authors":"Taiseer Hussain Al-Khateeb, Daher K Rabad","doi":"","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Fiberoptic bronchoscopes might be vital for the safe performance of difficult\nendotracheal intubations. However, many hospitals in low or middle-income countries are unable\nto afford the equipment. We describe the use of a flexible fiberoptic cystoscope, as an alternative\nto a bronchoscope, for difficult nasoendotracheal intubation in patients with temporomandibular joint ankyloses.</p><p><strong>Methods: </strong>Eight Jordanian patients (five females and three males) with severe restriction of\nmouth opening, due to ankylosis of the temporomandibular joint, underwent awake nasoendotracheal\nintubation using a flexible fiberoptic cystoscope under local anesthesia.</p><p><strong>Results: </strong>The procedure was successful and well tolerated in all eight patients.</p><p><strong>Conclusion: </strong>A flexible cystoscope can be a successful alternative to a flexible bronchoscope,\nfor difficult nasoendotracheal intubation in hospitals at rural areas in low-or middle-income countries with limited financial resources.</p>","PeriodicalId":35975,"journal":{"name":"Middle East Journal of Anesthesiology","volume":"23 6","pages":"679-83"},"PeriodicalIF":0.0000,"publicationDate":"2016-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Middle East Journal of Anesthesiology","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Fiberoptic bronchoscopes might be vital for the safe performance of difficult
endotracheal intubations. However, many hospitals in low or middle-income countries are unable
to afford the equipment. We describe the use of a flexible fiberoptic cystoscope, as an alternative
to a bronchoscope, for difficult nasoendotracheal intubation in patients with temporomandibular joint ankyloses.
Methods: Eight Jordanian patients (five females and three males) with severe restriction of
mouth opening, due to ankylosis of the temporomandibular joint, underwent awake nasoendotracheal
intubation using a flexible fiberoptic cystoscope under local anesthesia.
Results: The procedure was successful and well tolerated in all eight patients.
Conclusion: A flexible cystoscope can be a successful alternative to a flexible bronchoscope,
for difficult nasoendotracheal intubation in hospitals at rural areas in low-or middle-income countries with limited financial resources.
期刊介绍：
The journal is published three times a year (February, June, and October) and has an Editorial Executive Committee from the department and consultant editors from various Arab countries. A volume consists of six issues. Presently, it is in its 42nd year of publication and is currently in its 19th volume. It has a worldwide circulation and effective March 2008, the MEJA has become an electronic journal. The main objective of the journal is to act as a forum for publication, education, and exchange of opinions, and to promote research and publications of the Middle Eastern heritage of medicine and anesthesia.
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