Andrieu-Guitrancourt J, Ensel J, Dehesdin D, Arrignon J
Ann Otolaryngol Chir Cervicofac. 1984;101(6):481-4.
Difficulties in performing laryngotracheal intubation may arise in patients with cervicofacial anomalies, particularly when young children are involved. Technical artifices usually employed in adults, mainly intubation under fibroscopic guidance, cannot be used in these cases. Intubation was performed in three children aged between 3 to 4 years by means of a guide-catheter previously introduced into the trachea by using the fibroscope working canal, a method that is particularly recommended, even in younger children. The type of anesthesia used must be adapted to these circumstances.
患有头面部畸形的患者，尤其是儿童，在进行喉气管插管时可能会遇到困难。成人通常采用的技术手段，主要是纤维镜引导下插管，在这些病例中无法使用。对3至4岁的三名儿童，通过利用纤维镜工作通道预先插入气管的引导导管进行插管，这种方法即使对更小的儿童也特别推荐使用。所用麻醉类型必须适应这些情况。
