The Use of Flexible Fiberoptic Cystoscope for Difficult Endotracheal Intubation in TMJ Ankylosis Patients: A Case Series.

BACKGROUND

Fiberoptic bronchoscopes might be vital for the safe performance of difficult endotracheal intubations. However, many hospitals in low or middle-income countries are unable to afford the equipment. We describe the use of a flexible fiberoptic cystoscope, as an alternative to a bronchoscope, for difficult nasoendotracheal intubation in patients with temporomandibular joint ankyloses.

METHODS

Eight Jordanian patients (five females and three males) with severe restriction of mouth opening, due to ankylosis of the temporomandibular joint, underwent awake nasoendotracheal intubation using a flexible fiberoptic cystoscope under local anesthesia.

RESULTS

The procedure was successful and well tolerated in all eight patients.

CONCLUSION

A flexible cystoscope can be a successful alternative to a flexible bronchoscope, for difficult nasoendotracheal intubation in hospitals at rural areas in low-or middle-income countries with limited financial resources.