Tehran University of Medical Sciences Acta Medica Iranica 0044-6025 63 3 2025 09 23 202 205 Babak Eslami Department of Anesthesiology and Intensive Care, Imam Khomeini Hospital Complex, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran. AND Pain Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran. Hamidreza Amiri Department of Anesthesiology and Intensive Care, Imam Khomeini Hospital Complex, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran. Maryam Parnian Department of Anesthesiology and Intensive Care, Imam Khomeini Hospital Complex, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran. Alireza Montaseri Department of Anesthesiology and Intensive Care, Imam Khomeini Hospital Complex, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran. Ali Mahdavi Department of Anesthesiology and Intensive Care, Imam Khomeini Hospital Complex, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran. Reza Effatdoost Department of Anesthesiology and Intensive Care, Imam Khomeini Hospital Complex, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran. 2024 12 05 2025 05 14 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. https://acta.tums.ac.ir/index.php/acta/article/view/11399 https://acta.tums.ac.ir/index.php/acta/article/download/11399/5970