Occasional Review Anaesthetic implications of temporomandibular joint disease

摘要: The purpose of this article is to review the functional anatomy temporomandibular joint (TMJ) mechanism in man, discuss various types TMJ dysfunction and suggest a plan for assessment, anaesthesia airway management when reconstructive or unrelated surgery required. Patients with restricted mouth opening, who require critical care treatment severe upper obstruction impending ventilatory failure are special risk group. Regional use laryngeal should be considered. When tracheal intubation essential opening less than 25 mm, it unlikely that larynx will visualized by direct laryngoscopy. Fibreoptic then indicated. All patients assessment an oral surgeon.