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

Author:

Taharabaru Saori12,Sato Takehito1,Nishiwaki Kimitoshi1

Affiliation:

1. Department of Anesthesiology, Nagoya University Hospital, Nagoya, Japan

2. Department of Anesthesiology, Aichi Gakuin University Hospital, Nagoya, Japan

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.

Publisher

American Dental Society of Anesthesiology (ADSA)

Subject

Anesthesiology and Pain Medicine

Reference4 articles.

1. Abdul-Rahman O. Nicolaides-Baraitser syndrome. In: Adam MP, Ardinger HH, Pagon RA, et al, eds. GeneReviews® [Internet]. Seattle, WA: University of Washington, Seattle;2015: 1993– 2020.

2. Inagawa G, Miwa T, Hiroki K. The change of difficult intubation with growth in a patient with Treacher Collins syndrome. Anesth Analg. 2004; 99(6): 1874.

3. Singh DJ, Bartlett SP. Congenital mandibular hypoplasia: analysis and classification. J Craniofac Surg. 2015; 16(1): 291– 300.

4. Nonaka K, Tachikawa Y, Nakata M, et al. Oro-facial finding in a patient with Treacher Collins Syndrome. Shoni-shikagaku zassi. 1994; 32(1): 162– 169(Japanese).

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