Difficult Airway Management in a Patient With Nicolaides-Baraitser Syndrome Who Had a Small Jaw and Limited Mouth Opening

Saori Taharabaru; Takehito Sato; Kimitoshi Nishiwaki

doi:10.2344/anpr-67-04-05

Difficult Airway Management in a Patient With Nicolaides-Baraitser Syndrome Who Had a Small Jaw and Limited Mouth Opening

Anesth Prog. 2021 Mar 1;68(1):47-49. doi: 10.2344/anpr-67-04-05.

Authors

Saori Taharabaru^{1

2}, Takehito Sato¹, Kimitoshi Nishiwaki¹

Affiliations

¹ Department of Anesthesiology, Nagoya University Hospital, Nagoya, Japan.
² Department of Anesthesiology, Aichi Gakuin University Hospital, Nagoya, Japan.

Abstract

Nicolaides-Baraitser syndrome (NCBRS) is a rare congenital genetic disorder characterized by distinctive facial features similar to Treacher Collins syndrome (TCS). We report the first case of successful nasal fiberoptic intubation in a patient with NCBRS with micrognathia and limited mouth opening due to trismus. A 9-year-old girl with NCBRS and dental caries was scheduled to undergo general anesthesia for a dental extraction. Initial attempts at oral intubation using a video laryngoscope were unsuccessful. However, subsequent attempts at nasal intubation using a flexible fiberoptic scope were successful. This report highlights that patients with NCBRS may present with difficult airways to manage and intubate.

Keywords: Difficult airway; Fiberoptic intubation; Nicolaides-Baraitser syndrome; Pediatric anesthesia.

Publication types

Case Reports

MeSH terms

Airway Management
Child
Dental Caries*
Facies
Female
Foot Deformities, Congenital
Humans
Hypotrichosis
Intellectual Disability
Intubation, Intratracheal
Micrognathism*
Mouth

Supplementary concepts

Nicolaides Baraitser syndrome