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

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.