Anaesthetic Management in a Rare Case of Bird Face Deformity, Hypertrophied Adenoids and Temporomandibular Joint Ankylosis

Various methods have been described for nasal intubation in children with temporomandibular joint ankylosis with limited mouth opening. As younger children are uncooperative, they require intubation under anaesthesia. When associated with hypertrophied adenoid, there is high risk of airway obstruction and bleeding into the unprotected airway resulting in laryngospasm and/ or bronchospasm. We here describe successful intubation in a paediatric patient in whom the airway was obstructed with hypertrophic adenoids.