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- Title
Unsuccessful tracheal intubation in a patient with Kniest dysplasia undergoing repeated general anesthesia: a case report.
- Authors
Hasegawa-Moriyama, Maiko; Iwasaki, Tomonori; Mukaihara, Keika; Masuda, Mina; Kanmura, Yuichi
- Abstract
Background: Kniest dysplasia is a type of chondrodysplasia characterized by severe craniofacial abnormalities including tracheomalacia, midface hypoplasia, and cleft palate.Case presentation: We previously described a 6-year-old girl with Kniest dysplasia, in whom glottic edema rapidly developed after tracheal intubation. At the age of 13 years, a reoperation was scheduled to correct talipes equinovarus but was subsequently canceled due to failure of tracheal intubation and subsequent glottic edema. Airway evaluation by endoscopy and computed tomography 1 month later revealed severe laryngeal narrowing. Therefore, the second anesthesia was maintained with spinal anesthesia combined with sciatic nerve block without tracheal intubation.Conclusion: Careful perioperative airway evaluation is required in patients with Kniest dysplasia, and alternative strategies for airway management other than tracheal intubation should be considered.
- Subjects
TRACHEA intubation; DYSPLASIA; GENERAL anesthesia; COMPUTED tomography; REOPERATION; ENDOSCOPY; PATIENTS
- Publication
JA Clinical Reports, 2018, Vol 4, Issue 1, p1
- ISSN
2363-9024
- Publication type
Case Study
- DOI
10.1186/s40981-018-0178-x