Bahakeem Reem F, Alotaibi Feras A, Atiah Abdulqader K, Basodan Majed A, Abutaha Muwaffaq N
Medicine, Umm Al-Qura University, Makkah, SAU.
Anesthesiology, King Fahad General Hospital, Ministry of Health, Jeddah, SAU.
Cureus. 2025 Jul 30;17(7):e89051. doi: 10.7759/cureus.89051. eCollection 2025 Jul.
Parry-Romberg syndrome (PRS), also known as progressive hemifacial atrophy, is a rare condition characterized by unilateral degeneration of facial tissues. This case report details the anesthetic management of a 16-year-old female with PRS scheduled for elective dental surgery. The patient's facial asymmetry and restricted mouth opening posed significant challenges for airway access, necessitating a customized anesthetic plan. Despite difficulties with visualization and nasal intubation due to anatomical limitations, the airway was successfully managed using video laryngoscopy and blind nasal intubation. The procedure proceeded without complications, and the patient had an uneventful recovery. This case highlights the importance of individualized planning in patients with complex craniofacial abnormalities.
帕里-罗姆伯格综合征（PRS），又称进行性半侧面部萎缩，是一种罕见的病症，其特征为面部组织的单侧退化。本病例报告详细介绍了一名计划接受择期牙科手术的16岁PRS女性患者的麻醉管理情况。患者的面部不对称和张口受限给气道通路带来了重大挑战，因此需要制定定制化的麻醉计划。尽管由于解剖学限制，可视化和鼻腔插管存在困难，但通过视频喉镜和盲视鼻腔插管成功地管理了气道。手术过程顺利，无并发症发生，患者恢复良好。本病例强调了针对复杂颅面畸形患者进行个体化规划的重要性。
