An innovative ‘Prop technique’ of mouth opening in post-COVID-19 mucormycosis maxillectomy: Finding a new way with minimal efforts

General anaesthesia is associated with damage to teeth, particularly during laryngoscopy. Dental injury is more probable when pre-existing dental pathology or risk factors are present. Post-coronavirus disease -2019 mucormycosis is a rare, fulminant, lethal, angio-invasive, opportunistic fungal dise...

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Main Authors: Manisha Sapate, Ashwini Munde, Harsha Narkhede, Ajit Mane
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2021-01-01
Series:Indian Journal of Anaesthesia
Subjects:
Online Access:http://www.ijaweb.org/article.asp?issn=0019-5049;year=2021;volume=65;issue=11;spage=830;epage=833;aulast=Sapate
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author Manisha Sapate
Ashwini Munde
Harsha Narkhede
Ajit Mane
author_facet Manisha Sapate
Ashwini Munde
Harsha Narkhede
Ajit Mane
author_sort Manisha Sapate
collection DOAJ
description General anaesthesia is associated with damage to teeth, particularly during laryngoscopy. Dental injury is more probable when pre-existing dental pathology or risk factors are present. Post-coronavirus disease -2019 mucormycosis is a rare, fulminant, lethal, angio-invasive, opportunistic fungal disease and is increasingly recognised in diabetic and immunocompromised patients. Since the flange of the laryngoscope blade appears to be the source of tooth injury, alternate methods of wide mouth opening during laryngoscopy should be examined, especially when mouth opening is limited. In this case series, we have studied 12 cases of maxillectomies with an aim to improve restricted mouth opening by using the 'Prop technique' resulting in a minimum hinging force of the flange of the blade on teeth. Preoperatively, patients were warned about the possibility of dental injuries during anaesthesia or surgery.
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spelling doaj.art-2133b43c33634673bb0ee2d37779b89b2022-12-22T04:13:36ZengWolters Kluwer Medknow PublicationsIndian Journal of Anaesthesia0019-50490976-28172021-01-01651183083310.4103/ija.ija_708_21An innovative ‘Prop technique’ of mouth opening in post-COVID-19 mucormycosis maxillectomy: Finding a new way with minimal effortsManisha SapateAshwini MundeHarsha NarkhedeAjit ManeGeneral anaesthesia is associated with damage to teeth, particularly during laryngoscopy. Dental injury is more probable when pre-existing dental pathology or risk factors are present. Post-coronavirus disease -2019 mucormycosis is a rare, fulminant, lethal, angio-invasive, opportunistic fungal disease and is increasingly recognised in diabetic and immunocompromised patients. Since the flange of the laryngoscope blade appears to be the source of tooth injury, alternate methods of wide mouth opening during laryngoscopy should be examined, especially when mouth opening is limited. In this case series, we have studied 12 cases of maxillectomies with an aim to improve restricted mouth opening by using the 'Prop technique' resulting in a minimum hinging force of the flange of the blade on teeth. Preoperatively, patients were warned about the possibility of dental injuries during anaesthesia or surgery.http://www.ijaweb.org/article.asp?issn=0019-5049;year=2021;volume=65;issue=11;spage=830;epage=833;aulast=Sapatecoronavirusgeneral anaesthesialaryngoscopymouth openingmucormycosisproprisk factors
spellingShingle Manisha Sapate
Ashwini Munde
Harsha Narkhede
Ajit Mane
An innovative ‘Prop technique’ of mouth opening in post-COVID-19 mucormycosis maxillectomy: Finding a new way with minimal efforts
Indian Journal of Anaesthesia
coronavirus
general anaesthesia
laryngoscopy
mouth opening
mucormycosis
prop
risk factors
title An innovative ‘Prop technique’ of mouth opening in post-COVID-19 mucormycosis maxillectomy: Finding a new way with minimal efforts
title_full An innovative ‘Prop technique’ of mouth opening in post-COVID-19 mucormycosis maxillectomy: Finding a new way with minimal efforts
title_fullStr An innovative ‘Prop technique’ of mouth opening in post-COVID-19 mucormycosis maxillectomy: Finding a new way with minimal efforts
title_full_unstemmed An innovative ‘Prop technique’ of mouth opening in post-COVID-19 mucormycosis maxillectomy: Finding a new way with minimal efforts
title_short An innovative ‘Prop technique’ of mouth opening in post-COVID-19 mucormycosis maxillectomy: Finding a new way with minimal efforts
title_sort innovative prop technique of mouth opening in post covid 19 mucormycosis maxillectomy finding a new way with minimal efforts
topic coronavirus
general anaesthesia
laryngoscopy
mouth opening
mucormycosis
prop
risk factors
url http://www.ijaweb.org/article.asp?issn=0019-5049;year=2021;volume=65;issue=11;spage=830;epage=833;aulast=Sapate
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