Ali Fuat ERDEM, Mine ÇELİK, Nazım DOĞAN, Ayşenur DOSTBİL, Ayşenur COŞKUN SÜMER, Hacı Ahmet ALICI

Temporomandibular Eklem Ankilozlu Bir Çocukta Fiberoptik Entübasyon: Bir Olgu

Bu olguda çift taraflı temporomandibular eklem ankilozu olan fiberoptik bronkoskopla entübasyon yapılan bir pedi- atrik hasta sunuldu. Geçirdiği otitis mediaya bağlı temporomandibular eklem ankilozu gelişen üç yaşında çocuğafiberoptik entübasyon planlandı. Anestezi indüksiyonu %100 oksijen karışımı içinde sevufluronla yapıldı. Pediatrikfiberoptik bronkoskop kullanılarak entübasyon tek girişimde gerçekleştirildi. Anestezi idamesi %50 oksijen+%50azot protoksit karışımı içinde %1.5 konsantrasyonda sevofluran ile yapıldı. Cerrahi ile yeterince ağız açıklığı sağlandı.Hasta dekürarize edilerek spontan solunumunun yeterli olduğu kanaatine varılınca sorunsuz olarak ekstübe edildi.Sonuç olarak temporomandibular eklem ankilozlu çocuklarda spontan solunumu koruyarak fiberoptik entübasyonhava yolu sağlanması için güvenli bir yöntemdir.

Fiberoptic Intubation In A Child With Temporomabandibular Joint Ankylosis: A Case Report

In this case, a pediatric patient with bilateral temporomandibular joint ankylosis was presented who was intubatedwith fiberoptic bronchoscopy. A three years old child with temporomandibular joint ankylosis secondary to otitismedia fiberoptic intubation was planned. Induction of anesthesia was performed with sevoflurane in 100 % oxygen.Intubation was succeeded in first attempt by using pediatric fiberoptic bronchoscope. Maintanace of anesthesia wasperformed with concentration of 1.5% sevoflurane in a mixture 50% nitrous oxide + 50 oxygen. Enough mouth open- ing was provided with surgery. At the end of the surgery, atropine and neostigmine were administered to the patient.The patient was extubated after adequate spontaneous breathing. As a result, fiberoptic intubation while spontaneousbreathing is a safe method to ensure airway in children who had temporomandibular joint ankylosis

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