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Difficult intubation caused by an immature upper airway in a patient with cri-du-chat syndrome: a case report

Authors
  • So, Eunsun
  • Kim, Seungoh
Type
Published Article
Journal
Journal of Dental Anesthesia and Pain Medicine
Publisher
The Korean Dental Society of Anesthsiology
Publication Date
Feb 28, 2020
Volume
20
Issue
1
Pages
49–53
Identifiers
DOI: 10.17245/jdapm.2020.20.1.49
PMID: 32158960
PMCID: PMC7054071
Source
PubMed Central
Keywords
License
Green

Abstract

Cri-du-chat syndrome (CdCS) is caused by the deletion of the short arm of chromosome 5. Most patients with CdCS develop intellectual disabilities. Therefore, they have poor oral hygiene and a high caries index. However, treating such patients is not an easy task, because of the difficulty in communication. General anesthesia may be a useful option in adult patients with CdCS and intellectual disability. General anesthesia should be administered very carefully, owing to the presence of comorbid diseases, which may need airway management. Infants with CdCS need general anesthesia if they have a concomitant cardiac anomaly. Intubation is reportedly difficult for such patients was, owing to the structural and functional abnormalities in the larynx and vocal cords. The purpose of this study was to report a case of difficult intubation while inducing general anesthesia in a patient with CdCS during dental treatment, due to a narrow larynx and trachea.

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