objective: congenital fusion of jaws is a rare disorder which is observed in infants and cab ne syndromic and non-syndromic. limited mouth opening in patients can affect the child growth and cause difficulties in feeding, swallowing and breathing.   case: a in this study, a female infant from afghanistan, settled in qom referred to alzahra maternity with upper and lower fusion jaws is reported....

conclusions in this case, after failure of awake fiberoptic intubation, awake direct laryngoscopy and blind nasal intubation, finally awake nasal intubation in sitting position, using fiberoptic led to success. case presentation the present case discusses a patient with severe deformity of mandible that was admitted for correction with free-flap. the following intubation techniques were used fo...

This work was designed to compare the applicability of awake blind nasal and that of fibreoptic nasotracheal intubation in thirty adult sedated patients (ASA I and II) in whom the trachea planned to be intubated nasally. They were scheduled for elective oral or maxillofacial surgery under general anaethesia. They were randomly assigned into two equal groups according to the method used for intu...

INTRODUCTION Patients with mandible deformity may die, as a result of airway management failures. The awake nasal fiberoptic intubation is known as the optimum intubation method, in the mentioned patients, although, in several cases, fiberoptic intubation fails. CASE PRESENTATION The present case discusses a patient with severe deformity of mandible that was admitted for correction with free-...

BACKGROUND Limited mouth opening associated with unavailable or ineffective fibreoptic bronchoscope (FOB) is an intubation challenge. A light-aiding device may facilitate the blind nasal intubation. METHODS Awake blind nasal intubation was planned for 16 elective patients with inaccessible oral route (three children and 13 adults, ASA I-II). Topical anaesthesia for the supraglottis, glottis, ...

Awake blind nasal endotracheal intubation is a modification of Sir Ivan Magill's technique of blind nasal intubation under ether anaesthesia.1 The introduction of neuromuscular blocking agents, facilitating oral intubation under direct vision, led to a decline in popularity of Magill's method and it is now used sparingly, if at all.2 Where the sedated patient remains awake and co-operative, the...

Airway difficulties are a major concern for anesthesiologists. Even though fiberoptic intubation is the generally accepted method for management of difficult airways, it is not without disadvantages-requires patient cooperation, and cannot be performed on soiled airway or upper airways with pre-existing narrowing pathology. Additionally, fiberoptic bronchoscopy is not available at every medical...