Airway Management in a Mental Retardation Patient with Temporo-mandibular Joint Ankylosis

Temporo-mandibular joint (TMJ) ankylosis makes it impossible orotracheal intubation for general anesthesia because of limited mouth opening. We applied a nasotracheal intubation via fiberoptic bronchoscopy (FOB) guidance on a 36 years old mental retarded (MR) patient with bilateral TMJ, having extremely limited mouth opening. As a result, nasotracheal intubation via FOB is reliable technique on even mental retarded patients with extremely limited opening.