An unusual cause of temporomandibular joint dislocation due to bonfils intubation technique

Research output: Contribution to journalArticle

Abstract

Background: We report an unusual cause of temporomandibular joint (TMJ) dislocation due to Bonfils rigid fiberoptic endoscopic intubation in two patients with anticipated difficult airway who underwent surgery under general anesthesia. To the best of authors knowledge this complication is scarcely reported within the literature. Case Presentation: In the first illustrated case, the diagnosis of the dislocation was delayed as the patient was ventilated postoperatively. It was only diagnosed 40 hours later following extubation when patient complained of pain and inability to close his mouth. In contrast, there was an immediate diagnosis on clinical ground in the second case as patient was immediately extubated and transferred to the ward. Reduction was subsequently performed successfully in both patients. Conclusion: When Bonfils intubation rigid fiberoptic endoscope is used, clinicians should always immediately examine patients postoperatively to rule out the possibility of TMJ dislocation due to excessive jaw thrust involved. Emphasis should also be given for patients with a known history of TMJ disorder. Early recognition and appropriate management would reduce the incidence and its associated complications.

Original languageEnglish
Pages (from-to)27-29
Number of pages3
JournalSurgical Chronicles
Volume24
Issue number1
Publication statusPublished - 1 Jan 2019

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Temporomandibular Joint
Joint Dislocations
Intubation
Temporomandibular Joint Disorders
Endoscopes
Jaw
General Anesthesia
Mouth
Pain
Incidence

Keywords

  • Anesthesia
  • Bonfils intubation
  • Occlusion
  • Temporomandibular joint dislocation

ASJC Scopus subject areas

  • Surgery

Cite this

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title = "An unusual cause of temporomandibular joint dislocation due to bonfils intubation technique",
abstract = "Background: We report an unusual cause of temporomandibular joint (TMJ) dislocation due to Bonfils rigid fiberoptic endoscopic intubation in two patients with anticipated difficult airway who underwent surgery under general anesthesia. To the best of authors knowledge this complication is scarcely reported within the literature. Case Presentation: In the first illustrated case, the diagnosis of the dislocation was delayed as the patient was ventilated postoperatively. It was only diagnosed 40 hours later following extubation when patient complained of pain and inability to close his mouth. In contrast, there was an immediate diagnosis on clinical ground in the second case as patient was immediately extubated and transferred to the ward. Reduction was subsequently performed successfully in both patients. Conclusion: When Bonfils intubation rigid fiberoptic endoscope is used, clinicians should always immediately examine patients postoperatively to rule out the possibility of TMJ dislocation due to excessive jaw thrust involved. Emphasis should also be given for patients with a known history of TMJ disorder. Early recognition and appropriate management would reduce the incidence and its associated complications.",
keywords = "Anesthesia, Bonfils intubation, Occlusion, Temporomandibular joint dislocation",
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AU - Su Min, Ooi Joanna

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N2 - Background: We report an unusual cause of temporomandibular joint (TMJ) dislocation due to Bonfils rigid fiberoptic endoscopic intubation in two patients with anticipated difficult airway who underwent surgery under general anesthesia. To the best of authors knowledge this complication is scarcely reported within the literature. Case Presentation: In the first illustrated case, the diagnosis of the dislocation was delayed as the patient was ventilated postoperatively. It was only diagnosed 40 hours later following extubation when patient complained of pain and inability to close his mouth. In contrast, there was an immediate diagnosis on clinical ground in the second case as patient was immediately extubated and transferred to the ward. Reduction was subsequently performed successfully in both patients. Conclusion: When Bonfils intubation rigid fiberoptic endoscope is used, clinicians should always immediately examine patients postoperatively to rule out the possibility of TMJ dislocation due to excessive jaw thrust involved. Emphasis should also be given for patients with a known history of TMJ disorder. Early recognition and appropriate management would reduce the incidence and its associated complications.

AB - Background: We report an unusual cause of temporomandibular joint (TMJ) dislocation due to Bonfils rigid fiberoptic endoscopic intubation in two patients with anticipated difficult airway who underwent surgery under general anesthesia. To the best of authors knowledge this complication is scarcely reported within the literature. Case Presentation: In the first illustrated case, the diagnosis of the dislocation was delayed as the patient was ventilated postoperatively. It was only diagnosed 40 hours later following extubation when patient complained of pain and inability to close his mouth. In contrast, there was an immediate diagnosis on clinical ground in the second case as patient was immediately extubated and transferred to the ward. Reduction was subsequently performed successfully in both patients. Conclusion: When Bonfils intubation rigid fiberoptic endoscope is used, clinicians should always immediately examine patients postoperatively to rule out the possibility of TMJ dislocation due to excessive jaw thrust involved. Emphasis should also be given for patients with a known history of TMJ disorder. Early recognition and appropriate management would reduce the incidence and its associated complications.

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