FIBRE OPTIC INTUBATION AND SUB MENTAL FLAP RECONSTRUCTION IN CASE OF ORAL SUBMUCOUS FIBROSIS WITH MINIMAL MOUTH OPENING.
Main Article Content
Keywords
Oral submucous fibrosis, fibreoptic intubation, reduced mouth opening, submental flap
Abstract
Oral submucous fibrosis (OSMF) is mainly associated with betel nut and tabacco chewing and is a premalignant condition of buccal mucosa. Inflammation, increased deposition of submucosal collagen and progressive fibrosis of the submucosal tissues resulting in marked rigidity which increasingly limit mouth opening are characteristic features of OSMF. This case report discusses the anaesthetic and surgical management of a 25year old male patient with 08mm mouth opening who was operated with submucosal fibrectomy and reconstruction with submental artery flap.
References
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2. Rachana N D , Sandhya K, “Oral submucous fibrosis: a simple approach for Intubation” Volume 3 Issue 4, Int J Med Res Health Sci. 2014; 3(4): 1051-1053
3. Maharjan R, Jain K, Batra YK. Submucous Fibrosis secondary to chewing of quids: another cause of unanticipated difficult intubation. Can J Anaesth.2002; 49: 309 – 11
4. Williams K. A, et al. “Combined nebulization and spray as you go topical local anaesthesia of the airway”, British Journal of Anaesthesia, (2005) 95: 549-553
5. Woodruff C, et al. “Atomised lidocaine for airway topical anaesthesia in the morbidly obese”, Anaesthesia, (2010) 65: 12-17
6. Xue F, et al. “Spray as you go airway topical anesthesia in patients with a difficult airway”, Anesthesia & Analgesia, (2009) 108: 536-543 7. Joshi N., et al. An aid to topically anaesthetizing the airway, Anaesthesia, (2008) 63: 1265