Anesthetic management of difficult paediatric airway in a case of large facial Neurofibromatosis

Anesthetic management of difficult paediatric airway in a case of large facial Neurofibromatosis – A case report

Published:2023-11-15 Issue:4 Volume:10 Page:379-381
ISSN:2394-4781
Container-title:Indian Journal of Clinical Anaesthesia
language:
Short-container-title:IJCA

Author:

Nara Jyoti¹^ORCID,Yalla Naveen¹^ORCID

Affiliation:

1. Artemis Hospitals, Gurgaon, Haryana, India

Abstract

Neurofibromatosis is tumor involving different parts of the body. Neurofibromatosis may potentially lead to difficult airway. These challenging cases need special considerations. Various anesthetic techniques and devices are described to secure the airway. In the present case we intubated a 11-year-old child with large left side facial tumor extending to the neck which had intraoral encroachment displacing the tongue and pharynx to the right. This is a case report illustrating intubation of difficult pediatrics airway using awake bronchoscopic intubation under conscious sedation.

Publisher

IP Innovative Publication Pvt Ltd

Subject

General Medicine

Reference9 articles.

1. Ian G, Dorward JR, .Youman’s Neurological Surgery.

2. Rahbar R, Litrovnik BG, Vargas SO, Robson CD, Nuss RC, Irons MB, The Biology and Management of Laryngeal Neurofibroma.Arch Otolaryngol Head Neck Surg 2004;130(12):1400-6

3. Practice guidelines for management of the difficult airway: an updated report by the American Society of Anesthesiologists Task Force on Management of the Difficult Airway.Anesthesiology 2003;98(5):1269-77

4. Fiadjoe J, Stricker P, Pediatric difficult airway management: current devices and techniques.Anesthesiol Clin 2009;27(2):185-95

5. Kholy JE, Mohamed NN, A case report of successful awake fibreoptic intubation in a child with severe airway burn.Egypt J Anaesth 2013;29:171-4