Further observations on retromolar fibreoptic orotracheal intubation in patients with severe trismus.

摘要

To the Editor,We congratulate Truong et al.on their successful airway management using retromolar flbreoptic orotracheal intubation in a patient with severe trismus undergoing nasal surgery. We too have employed this technique in three adult patients during the past five years. The first case involved a 52-yr-old woman who suffered from a severely limited mouth opening (interincisor distance = 7 mm) due to previous radiotherapy for oral cancer. On this admission, she underwent nasal metastatic tumour excision and tem-poromandibular joint arthroplasty. The second case involved a 21-yr-old male with chronic temporomandibular joint ankylosis (interincisor distance = 5 mm), mandibular hypoplasia, and left nasal passage stenosis.