{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T10:10:03Z","timestamp":1756375803229,"version":"3.44.0"},"reference-count":10,"publisher":"BMJ","issue":"9","license":[{"start":{"date-parts":[[2021,9,19]],"date-time":"2021-09-19T00:00:00Z","timestamp":1632009600000},"content-version":"unspecified","delay-in-days":18,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,9,7]]},"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:p>We present a case of colorectal cancer with temporomandibular joint dysfunction and discuss the management of the case. Type IIIb temporomandibular disorder involves anterior dislocation of the articular disk, trismus and difficult intubation. A 68-year-old woman was scheduled for colectomy. The day before surgery, the patient had temporomandibular pain. On examination, the mouth opening was 13 mm. We diagnosed type IIIb temporomandibular disorder. A simple splint was fabricated with gauze and she bit it. The mouth opening was 55 mm on the day of surgery. The pain disappeared, and intubation was uneventful. Temporomandibular disorders are generally treated by dentists. It is beneficial for general hospitals without a dentistry department to employ a dental anaesthesiologist to assist in potentially difficult intubations in patients with temporomandibular disorders.<\/jats:p>","DOI":"10.1136\/bcr-2021-244635","type":"journal-article","created":{"date-parts":[[2021,9,20]],"date-time":"2021-09-20T12:06:40Z","timestamp":1632139600000},"page":"e244635","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Diagnosis and management of temporomandibular joint dysfunction before surgery: a case report"],"prefix":"10.1136","volume":"14","author":[{"given":"Ken","family":"Tateno","sequence":"first","affiliation":[{"name":"Department of Anesthesiology, Saitama Medical University Hospital, Iruma-gun, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tsutomu","family":"Mieda","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Saitama Medical University Hospital, Iruma-gun, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katsushi","family":"Doi","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Saitama Medical University Hospital, Iruma-gun, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,9,20]]},"reference":[{"key":"2025082802305257000_14.9.e244635.1","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1155\/2019\/6421910","article-title":"Acute awake fiberoptic intubation in the ICU in a patient with limited mouth opening and hypoxemic acute respiratory failure","volume":"2019","author":"Hannig","year":"2019","journal-title":"Case Rep 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study","volume":"9","author":"Gadotti","year":"2020","journal-title":"J Clin Med"},{"key":"2025082802305257000_14.9.e244635.9","doi-asserted-by":"crossref","DOI":"10.1111\/edt.12702","article-title":"An analysis of anesthetists' awareness, knowledge, and attitudes toward peri-anesthetic dental trauma","author":"Do\u011fan","year":"2021","journal-title":"Dent Traumatol"},{"key":"2025082802305257000_14.9.e244635.10","first-page":"49","article-title":"Dental injury associated with anaesthesia: an 8-year database analysis of 592 claims from a major French insurance company","volume":"37","author":"Giraudon","year":"2018","journal-title":"Anaesth Crit Care Pain Med"}],"container-title":["BMJ Case 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