AI Article Synopsis
- Treacher Collins syndrome (TCS) is a congenital condition that causes malformations in craniofacial structure, making airway management challenging during procedures like laryngoscopy.
- A 20-year-old male with TCS faced difficulties during conventional direct laryngoscopy, resulting in a poor view of his airway (grade 4 Cormack and Lehane view).
- The AirWay Scope was successfully used for orotracheal intubation, offering a clear view of the glottis without needing the usual alignment of anatomical structures, making it a promising tool for patients with difficult airways.
Article Abstract
Treacher Collins syndrome (TCS) is a congenital malformation of craniofacial development; in these patients conventional direct laryngoscopy is very difficult and often unsuccessful because of the upper airway malformation. A 20-year-old man with TCS was scheduled for elective tympanoplasty. The patient showed the characteristic facial appearance of TCS, and a difficult airway was anticipated. After careful anesthesia induction, direct laryngoscopy with Macintosh blade no. 4 of a direct laryngoscope failed to visualize the epiglottis, even with cricoid pressure, resulting in a grade 4 Cormack and Lehane view. Next, the AirWay Scope was easily inserted, and his glottic opening was clearly visualized. An 8.0-mm-internal-diameter tracheal tube was then advanced into the trachea without any difficulty. The AirWay Scope is a very useful airway device for orotracheal intubation; it provides an excellent view of the glottis without requiring alignment of the oral, pharyngeal, and laryngeal axes, and appears to be promising for use in patients with a difficult airway.
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| http://dx.doi.org/10.1007/s00540-007-0598-7 | DOI Listing |
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