Sasanuma Hiromi, Niwa Yasunori, Shimada Nobuhiro, Machida Masanari, Irei Takeshi, Hayashi Kenji, Takeuchi Mamoru
Moka 321-4306 Department of Anesthesiology, Haga Red Cross Hospital, Moka 321-4306.
Masui. 2013 Jul;62(7):867-9.
A 23-year-old woman with Goldenhar syndrome and conductive deafness was scheduled for tympanoplasty. Goldenhar syndrome is a developmental disorder characterized by ear malformation, mandibular hypoplasia, and vertebral anomalies. Furthermore, she had micrognathia, trismus, and mandibular hypoplasia. Awake taracheal intubation was attempted to prevent airway obstruction, because we had anticipated her difficult airway (micrognathia, trismus, and mandibular hypoplasia). The vocal cords were visualized with a Cormac and Lehane grade I, using the Airtraq optical laryngoscope Small (Size 2), under sedation. Then, an endotracheal tube was inserted after induction of general anesthesia. This is the first case report on the successful orotracheal intubation using Airtraq in an adult with Goldenhar syndrome.
一名患有Goldenhar综合征并伴有传导性耳聋的23岁女性计划接受鼓室成形术。Goldenhar综合征是一种发育障碍，其特征为耳部畸形、下颌骨发育不全和脊柱异常。此外，她还患有小颌畸形、牙关紧闭和下颌骨发育不全。由于预计她存在困难气道（小颌畸形、牙关紧闭和下颌骨发育不全），因此尝试进行清醒气管插管以防止气道梗阻。在镇静状态下，使用Airtraq小型光学喉镜（尺寸2号），可视喉镜分级为Cormac和Lehane I级，暴露了声带。然后，在全身麻醉诱导后插入气管内导管。这是首例关于在患有Goldenhar综合征的成人中使用Airtraq成功进行经口气管插管的病例报告。
