先前未确诊的颞下颌关节强直的麻醉意义:1例报告。

IF 0.5

A&A Practice Pub Date : 2023-01-01 DOI:10.1213/XAA.0000000000001640

Parisorn Thepmankorn, Mahir A Sufian, Omar Singer, Somdatta Gupta, Dennis Grech, Tomas Ballesteros, Shridevi Pandya Shah

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引用次数: 0

摘要

颞下颌关节(TMJ)强直的特征是骨融合，限制了TMJ的活动。我们提出的情况下，一位老年妇女被带到手术室进行牙科康复全身麻醉。患者有未确诊的颞下颌关节强直，由于其非语言状态和晚期痴呆，在麻醉诱导后才发现。由于进入手术区域受限，手术小组取消了该病例。我们讨论提示TMJ强直的因素，并提出怀疑TMJ强直但未确诊时的围手术期处理建议。

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Anesthetic Implications of Previously Undiagnosed Temporomandibular Joint Ankylosis: A Case Report.

Temporomandibular joint (TMJ) ankylosis is characterized by bony fusion that limits TMJ mobility. We present the case of an elderly woman who was brought to the operating room for dental rehabilitation under general anesthesia. The patient had an undiagnosed TMJ ankylosis, which was discovered only after induction of anesthesia due to her nonverbal status and advanced dementia. The surgical team canceled the case due to limited access to the surgical field. We discuss the factors that suggest TMJ ankylosis and propose the perioperative management when TMJ ankylosis is suspected but unconfirmed.

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来源期刊

A&A Practice ANESTHESIOLOGY-

自引率

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发文量

期刊介绍： A & A Case Reports, our new online journal publishing Case Reports, related Editorial Commentary, and Correspondence. Anesthesia & Analgesia 1 and Anesthesiology 2 recently announced that they were suspending publication of Case Reports. One reason is that Case Reports typically reduce the Impact Factor of a journal because they are rarely cited. Regardless of the merits of Impact Factor as a metric of journal worth, journals and their editors necessarily consider Impact Factor in strategic planning. At the same time, Case Reports are appreciated by readers for describing “real life” management of difficult or unusual cases not often encountered by practitioners. In a recent issue of Anesthesia & Analgesia, Steven Shafer1 identified many Case Reports whose publication launched productive careers dedicated to solving the puzzle posed by an unusual observation in a single patient.