Crafting a Solution: An Impromptu Approach to Intubation in a Patient With Treacher-Collins Syndrome, Utilizing Video-Laryngoscopy and a Custom J-Shape Stylet
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Abstract
Treacher-Collins syndrome (TCS) is a rare congenital disease known to be associated with a difficult airway and is challenging for anesthesiologists practicing pediatric anesthesia. Many features of the syndrome are predictors of a difficult airway, including limited mouth opening, mandibular hypoplasia, relative macroglossia, glossoptosis, and obstructive sleep apnea. In this report, we share our experience with a TCS patient who presented for adenotonsillectomy and underwent successful intubation using video laryngoscopy with a revised J-shaped stylet.
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9. Hosking J, Zoanetti D, Carlyle A, Anderson P, Costi D. Anesthesia for Treacher Collins syndrome: a review of airway management in 240 pediatric cases. Pediatr Anesth 2012;22:752-8.
10. Lin YC. Cervical spine disease and Down syndrome in pediatric anesthesia. Anesthesiol Clin North Am 1998;16:911-23.
2. Lerman J, Cote C, Steward D. Techniques and Procedures. In: Manual of Pediatric Anesthesia. Seventh Ed. Switzerland:Springer; 2016:103-5.
3. Harrison MS. The Treacher Collins-Franceschetti Syndrome. J Laryngol Otol 1957;71:597-604.
4. Chang CC, Steinbacher DM. Treacher Collins Syndrome. Semin Plast Surg 2012;26:8390.
5. Agrawal S, Asthana V, Sharma J, Sharma U, Meher R. Alternative intubation technique in a case of Treacher Collins Syndrome. Internet J Anesthesiol 2005;11:1-8.
6. Bellhouse CP, Doré C. Criteria for Estimating Likelihood of Difficulty of Endotracheal Intubation with the Macintosh Laryngoscope. Anaesth Intensive Care 1988;16:329-37.
7. Mallampati SR, Gatt SP, Gugino LD, Desai SP, Waraksa B, Freiberger D, et al. A clinical sign to predict difficult tracheal intubation; a prospective study. Can Anaesth Soc J 1985;32:429-34.
8. Abengochea Cotaina A, Sanmiguel Gil G, Vila Sánchez M, Martínez Trens M, Baena Montilla P. [Anesthesia in a patient with Treacher-Collins syndrome]. Rev Esp Anestesiol Reanim 1990;37:95-7.
9. Hosking J, Zoanetti D, Carlyle A, Anderson P, Costi D. Anesthesia for Treacher Collins syndrome: a review of airway management in 240 pediatric cases. Pediatr Anesth 2012;22:752-8.
10. Lin YC. Cervical spine disease and Down syndrome in pediatric anesthesia. Anesthesiol Clin North Am 1998;16:911-23.
| Files | ||
| Issue | Vol 63 No 3 (2025) | |
| Section | Case Report(s) | |
| DOI | https://doi.org/10.18502/acta.v63i3.19721 | |
| Keywords | ||
| Treacher-collins syndrome Airway management Difficult intubation J-shaped stylet Anesthesia | ||
| Rights and permissions | |
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Eslami B, Amiri H, Parnian M, Montaseri A, Mahdavi A, Effatdoost R. Crafting a Solution: An Impromptu Approach to Intubation in a Patient With Treacher-Collins Syndrome, Utilizing Video-Laryngoscopy and a Custom J-Shape Stylet. Acta Med Iran. 2025;63(3):202-205.
