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Updated: Jan 14, 2026

Guidelines for Elective Pediatric Fiberoptic Intubation
Published on: January 17, 2011
Beyond fiberoptic: securing the airway in a child with bilateral TMJ ankylosis
Swati Jindal1, Deepika Gupta1, Naini Sood1
1Department of Anesthesia and Intensive Care, Government Medical College and Hospital, Chandigarh, India.
Abstract:
Traumatic injury involving the temporomandibular joint during early childhood can progress to temporomandibular joint ankylosis. Securing the airway for corrective surgery in pediatric temporomandibular joint ankylosis is a considerable anesthetic challenge. While fiberoptic intubation is the gold standard for anticipated difficult airways, a pediatric fiberoptic bronchoscope may not be readily available. We present the anesthetic management of an 11-year-old girl with bilateral TMJ ankylosis scheduled for corrective surgery, using Glidescope® assisted nasotracheal intubation as an alternative in the absence of a pediatric fiberoptic bronchoscope. This case demonstrates that innovative airway management strategies, including the use of a feeding tube guide, can be effectively employed in challenging situations.
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