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Post-tracheostomy With Long-Standing Temporomandibular Joint (TMJ) Ankylosis Using a Cone-Beam Computed Tomography
Vamsi Krishna Uppalapati1, Rama Shankar2, Deb Sanjay Nag1
1Anesthesiology, Tata Main Hospital, Jamshedpur, IND.
Abstract:
Cone-beam computed tomography (CBCT) scans offer a static picture of airway anatomy and help diagnose anatomical or pathological anomalies. Patients with post-tracheostomy status have a high probability of tracheal stenosis. The airway must be thoroughly examined before induction. Three-dimensional visualization using CBCT allows the anesthesiologist to make informed decisions regarding the intubation approach and appropriate endotracheal (ET) tube size, thereby reducing the risk of perioperative complications. In this case report, we discuss the role of 3D imaging in assessing the probability of tracheal stenosis in a 56-year-old patient with a 40-year history of long-standing temporomandibular joint (TMJ) ankylosis.
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