Difficult Airway Management in a Patient With Nicolaides-Baraitser Syndrome Who Had a Small Jaw and Limited Mouth Opening.

• 发表时间: 03 2021 1
• 来源期刊: Anesth Prog
• DOI: 10.2344/anpr-67-04-05
• PMID: 33827121
• 文章类型: Case Reports
• 作者列表: Taharabaru S,Sato T,Nishiwaki K

关键词: Difficult airway; Fiberoptic intubation; Nicolaides-Baraitser syndrome; Pediatric anesthesia

Mesh: Airway Management; Child; Dental Caries; Facies; Female; Foot Deformities, Congenital; Humans; Hypotrichosis; Intellectual Disability; Intubation, Intratracheal; Micrognathism; Mouth

Abstract

Nicolaides-Baraitser syndrome (NCBRS) is a rare congenital genetic disorder characterized by distinctive facial features similar to Treacher Collins syndrome (TCS). We report the first case of successful nasal fiberoptic intubation in a patient with NCBRS with micrognathia and limited mouth opening due to trismus. A 9-year-old girl with NCBRS and dental caries was scheduled to undergo general anesthesia for a dental extraction. Initial attempts at oral intubation using a video laryngoscope were unsuccessful. However, subsequent attempts at nasal intubation using a flexible fiberoptic scope were successful. This report highlights that patients with NCBRS may present with difficult airways to manage and intubate.