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Sapate M, Munde A, Narkhede H, et al. An innovative 'Prop technique' of mouth opening in post-COVID-19 mucormycosis maxillectomy: Finding a new way with minimal efforts. Indian J Anaesth. 2021;65(11):830-833doi: 10.4103/ija.ija_708_21.
Sapate, M., Munde, A., Narkhede, H., & Mane, A. (2021). An innovative 'Prop technique' of mouth opening in post-COVID-19 mucormycosis maxillectomy: Finding a new way with minimal efforts. Indian journal of anaesthesia, 65(11), 830-833. https://doi.org/10.4103/ija.ija_708_21
Sapate, Manisha, et al. "An innovative 'Prop technique' of mouth opening in post-COVID-19 mucormycosis maxillectomy: Finding a new way with minimal efforts." Indian journal of anaesthesia vol. 65,11 (2021): 830-833. doi: https://doi.org/10.4103/ija.ija_708_21
Sapate M, Munde A, Narkhede H, Mane A. An innovative 'Prop technique' of mouth opening in post-COVID-19 mucormycosis maxillectomy: Finding a new way with minimal efforts. Indian J Anaesth. 2021 Nov;65(11):830-833. doi: 10.4103/ija.ija_708_21. Epub 2021 Nov 23. PMID: 35001956; PMCID: PMC8680414.
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Indian J Anaesth. 2021 Nov;65(11):830-833. doi: 10.4103/ija.ija_708_21. Epub 2021 Nov 23.

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

Indian journal of anaesthesia

Manisha Sapate, Ashwini Munde, Harsha Narkhede, Ajit Mane

Affiliations

  1. Department of Anaesthesia, PCMC's PG institute, Yashwantrao Chavan Memorial hospital, Pimpri-Chinchwad, Pune, Maharashtra, India.

PMID: 35001956 PMCID: PMC8680414 DOI: 10.4103/ija.ija_708_21

Abstract

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.

Copyright: © 2021 Indian Journal of Anaesthesia.

Keywords: Coronavirus; general anaesthesia; laryngoscopy; mouth opening; mucormycosis; prop; risk factors

Conflict of interest statement

There are no conflicts of interest.

References

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