Modified Technique Of Retrograde Intubation Using Ventilating Bougie

We report a 14-year-old, ASA grade I female who presented with a mouth opening of 5 mm. The patient complained of trismus since she was 2-years-old due to trauma to the mandible. She was diagnosed as a case of bilateral TMJ ankylosis and was posted for interpositional gap arthroplasty.Due to the unavailability of fiberoptic bronchoscope, retrograde intubation was planned. A modified technique of retrograde intubation was done, were ventilating bougie was used along with J tipped guide wire, which made the intubation easier and reduced the chances of trauma.