Rein Lauren E, McQuitty Alexis, Nguyen Thong
Anesthesiology, University of Texas Medical Branch at Galveston, Galveston, USA.
Cureus. 2025 Jul 10;17(7):e87655. doi: 10.7759/cureus.87655. eCollection 2025 Jul.
Treacher-Collins syndrome (TCS) presents significant challenges in airway management due to craniofacial abnormalities that often worsen with age. We describe the anesthetic management of a three-year-old male with TCS and no history of corrective surgery. Ketamine was used to facilitate vascular access and achieve adequate anesthetic depth. After three unsuccessful intubation attempts, an adult-sized Ovassapian airway was employed to guide a fiberoptic bronchoscope beneath the epiglottis and through the vocal cords, resulting in successful intubation. Postoperative airway management was optimized through multidisciplinary collaboration, highlighting the importance of preoperative planning and team-based decision-making in complex pediatric airway cases.
由于颅面畸形通常会随着年龄增长而恶化，因此特雷彻-柯林斯综合征（TCS）在气道管理方面带来了重大挑战。我们描述了一名三岁男性TCS患者且无矫正手术史的麻醉管理情况。使用氯胺酮来促进血管穿刺并达到足够的麻醉深度。在三次插管尝试失败后，使用成人尺寸的奥瓦萨皮安气道引导纤维支气管镜到达会厌下方并穿过声带，从而成功插管。通过多学科协作优化了术后气道管理，突出了术前规划和基于团队的决策在复杂儿科气道病例中的重要性。
