We report a case of difficult ventilation and tracheal intubation in a 18-year-old woman with Hutchinson-Gilford syndrome. She was diagnosed with osteosarcoma in the right tibia and thyroid cancer. She was scheduled for two operations under general anesthesia for the bone tumor and the thyroid. In the operation, we experienced difficult mask ventilation and tracheal intubation because of her small mouth, small mandible and narrow upper airway related to Hutchinson-Gilford syndrome. In the second operation, mask ventilation and tracheal intubation were easily conducted by using Berman pharyngeal airway. Berman airway was useful for airway managemant of Hutchinson-Gilford syndrome.
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