Abstract

Trismus associated with mandibular fractures is thought to increase the risks of general anesthesia. Nasotracheal intubation is necessary since the dental arches will be occluded at the end of the procedure. To establish an airway, an awake nasal intubation or fiberoptic endoscopy is required if direct laryngoscopy cannot be performed due to trismus. A prospective analysis of fifty-one patients with various types of mandibular fractures indicated that trismus was for the most part due to two factors, pain induced guarding and infection. In this series, direct laryngoscopy was easily performed after induction and paralyzation in cases without infection. Direct laryngoscopy is therefore possible in a majority of mandibular fractures. The anesthesiologist must be aware of the location of infection in association with mandibular fractures as well as the type of mandibular fractures.

Department

Dentistry

School

Graduate School

First Advisor

Philip Boyne

Second Advisor

Bernard Byrd

Third Advisor

Donald Anderson

Degree Name

Master of Science (MS)

Degree Level

M.S.

Year Degree Awarded

1993

Date (Title Page)

6-1993

Language

English

Library of Congress/MESH Subject Headings

Mandibular Fractures -- therapy; Trismus -- complications; Intubation; Laryngoscopy -- methods

Type

Thesis

Page Count

iii; 11

Digital Format

PDF

Digital Publisher

Loma Linda University Libraries

Usage Rights

This title appears here courtesy of the author, who has granted Loma Linda University a limited, non-exclusive right to make this publication available to the public. The author retains all other copyrights.

Collection

Loma Linda University Electronic Theses and Dissertations

Collection Website

http://scholarsrepository.llu.edu/etd/

Repository

Loma Linda University. Del E. Webb Memorial Library. University Archives

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