Kanemaru Hiroko, Tsurumaki Tatsuru, Kurata Shigenobu, Tanaka Yutaka, Yoshikawa Hiroyuki, Sato Yumiko, Kodama Yuki, Suda Akiko, Yamada Yurie, Seo Kenji
Department of Dental Anesthesiology, Niigata University Medical and Dental Hospital, Niigata, Japan.
Division of Dental Anesthesiology, Graduate School of Medicine and Dental Sciences, Niigata University, Niigata, Japan.
Anesth Prog. 2019 Spring;66(1):42-43. doi: 10.2344/anpr-66-02-01.
We report a case of difficult endotracheal intubation in a patient with Treacher Collins syndrome. A sixteen-year-old female patient scheduled for general anesthesia had a displaced palatal tooth that interfered with laryngoscope insertion into the pharyngeal space. To address this problem, we successfully performed endotracheal intubation using a fiberscope while elevating the epiglottic vallecula using a King Vision™ video laryngoscope. A later operation was performed after tooth extraction without difficult laryngoscopy. Our experience stresses the importance of removing obstructions to laryngoscopic inspection prior to general anesthesia.
我们报告一例患有特雷彻·柯林斯综合征患者的困难气管插管病例。一名计划接受全身麻醉的16岁女性患者有一颗腭侧移位牙，这妨碍了喉镜插入咽腔。为解决这一问题，我们在使用King Vision™视频喉镜抬高会厌谷的同时，成功地使用纤维喉镜进行了气管插管。拔牙后进行了后续手术，喉镜检查未出现困难。我们的经验强调了在全身麻醉前清除喉镜检查障碍物的重要性。
