phenylephrine-hydrochloride and Ankylosis

The conventional or zigzag bicoronal incision has been widely used in craniofacial surgery. Unfortunately, after the incision, the temporoparietal (TP) fascia has to be abandoned because of its vascular or structural damages.. The author describes a technique to preserve the TP fascia during the incision.. The coronal incision stopped at the subcutaneous plane. The dissection continued subcutaneously under the posterior edge of the incision as in the elevation of TP fascia. After cutting through the TP fascia, the dissection continued anteriorly in the subgaleal plane as in the coronal dissection.. A total number of 15 craniofacial patients underwent bicoronal incision with this technique. The time spent for preservation of the TP fascia was 10 to 15 minutes for both sides.. The bicoronal incision with preserved TP fascia as described provides an alternative to the patient who may need TP fascia for future uses.

Topics: Ankylosis; Craniosynostoses; Dissection; Encephalocele; Fascia; Fasciotomy; Frontal Bone; Humans; Hypertelorism; Meningocele; Muscle, Skeletal; Nose; Parietal Bone; Plastic Surgery Procedures; Subcutaneous Tissue; Surgical Flaps; Temporal Arteries; Temporal Muscle; Temporomandibular Joint Disorders; Time Factors

To assess the efficacy of blind nasal intubation technique, in cases of ankylosis of temporomandibular joint (TMJ) without the facility of fiber optic bronchoscope.. Analytical study.. Maxillofacial Surgery Department, Armed Forces Institute of Dentistry, Rawalpindi, Pakistan, from August 2002 to October 2003.. A total of 35 patients of ankylosis of TMJ were included in the study. Blind nasotracheal intubation technique was attempted after induction of anaesthesia and paralyzing the patients. Where blind nasotracheal intubation technique was not successful, one nasotracheal tube was passed into the esophagus and retained. Nasotracheal intubation was attempted through contralateral nares by second tube.. Out of 35 patients male to female ratio was 1:1.2. The age of the patients ranged between 5 to 35 years with a mean age of 14.5 years. Blind nasotracheal intubation technique was successful in 23 cases (65.7%), whereas in 12 patients intubation was not successful. The 12 cases of failed blind nasotracheal intubation technique were successfully intubated nasotracheally by prior placement of nasotracheal tube into the esophagus through contralateral nares, which facilitated re-intubation (34.3%).. In the selected patients blind nasotracheal intubation was facilitated by prior placement of the endotracheal tube into esophagus. This technique may be helpful in reducing the psychological trauma and complications of tracheostomy in such patients. However, to-date, fiber optic intubation remains the safest and widely accepted intubation technique in such patients.

Topics: Adolescent; Adult; Anesthetics, Intravenous; Ankylosis; Child; Child, Preschool; Female; Humans; Intubation, Intratracheal; Male; Neuromuscular Depolarizing Agents; Nose; Temporomandibular Joint Disorders

Topics: Abnormalities, Multiple; Ankylosis; Arthrogryposis; Cardiomegaly; Clubfoot; Cryptorchidism; Ear, External; Face; Fingers; Humans; Infant; Infant, Newborn; Lung; Male; Mandible; Nose; Palate; Syndrome; Thumb

Topics: Abnormalities, Multiple; Ankylosis; Cesarean Section; Clubfoot; Ear, External; Face; Female; Fetal Death; Fingers; Hip; Humans; Infant, Newborn; Knee; Lung; Nose; Pregnancy; Syndrome; Ulna

Topics: Adolescent; Anesthesia, General; Ankylosis; Child; Female; Humans; Intubation; Jaw Diseases; Mandibular Diseases; Nigeria; Nose; Tracheotomy; Tropical Climate; Tropical Medicine

Topics: Ankylosis; Cheek; Chin; Ear; Eyelids; Face; Humans; Lip; Methods; Mouth; Neck; Nose; Orbit; Rhinoplasty; Scalp; Skin Transplantation; Transplantation, Autologous

Topics: Ankylosis; Humans; Intubation, Intratracheal; Jaw; Micrognathism; Nose; Temporomandibular Joint

Topics: Accidents; Accidents, Traffic; Ankylosis; Fractures, Bone; Fractures, Ununited; Humans; Immobilization; Mandibular Fractures; Mandibular Injuries; Maxillofacial Injuries; Nose; Radiography; Surgical Procedures, Operative; Temporomandibular Joint

Topics: Anesthesia; Anesthesia, Endotracheal; Ankylosis; Contracture; Humans; Intubation, Intratracheal; Laryngoscopy; Lymphatic Metastasis; Mandibular Neoplasms; Maxillary Neoplasms; Muscle Relaxants, Central; Nose; Osteotomy; Parotid Neoplasms; Preanesthetic Medication; Salivary Gland Neoplasms; Surgical Procedures, Operative; Tracheotomy