Crafting a Solution: An Impromptu Approach to Intubation in a Patient With Treacher-Collins Syndrome, Utilizing Video-Laryngoscopy and a Custom J-Shape Stylet

Babak  Eslami; Hamidreza  Amiri; Maryam  Parnian; Maryam  Parnian; Alireza  Montaseri; Ali  Mahdavi; Reza  Effatdoost

doi:10.18502/acta.v63i3.19721

Babak Eslami Department of Anesthesiology and Intensive Care, Imam Khomeini Hospital Complex, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
Hamidreza Amiri Department of Anesthesiology and Intensive Care, Imam Khomeini Hospital Complex, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
Maryam Parnian Department of Anesthesiology and Intensive Care, Imam Khomeini Hospital Complex, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
Maryam Parnian Department of Anesthesiology and Intensive Care, Imam Khomeini Hospital Complex, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
Alireza Montaseri Department of Anesthesiology and Intensive Care, Imam Khomeini Hospital Complex, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
Ali Mahdavi Department of Anesthesiology and Intensive Care, Imam Khomeini Hospital Complex, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
Reza Effatdoost Department of Anesthesiology and Intensive Care, Imam Khomeini Hospital Complex, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran

DOI: https://doi.org/10.18502/acta.v63i3.19721

Keywords: Treacher-collins syndrome; Airway management; Difficult intubation; J-shaped stylet; Anesthesia

Abstract

Treacher-Collins syndrome (TCS) is a rare congenital disease known to be associated with a difficult airway and is challenging for anesthesiologists practicing pediatric anesthesia. Many features of the syndrome are predictors of a difficult airway, including limited mouth opening, mandibular hypoplasia, relative macroglossia, glossoptosis, and obstructive sleep apnea. In this report, we share our experience with a TCS patient who presented for adenotonsillectomy and underwent successful intubation using video laryngoscopy with a revised J-shaped stylet.