We present a case of a ten-month-old boy with Goldenhar's syndrome and significant retrognathia in whom a tracheostomy was performed to relieve upper airway obstruction. Tracheal intubation was facilitated by direct suspension laryngoscopy using a slotted rigid laryngoscope. We propose this technique as an alternative method for tracheal intubation in infants and young children with a difficult airway. The management of the difficult airway in children with Goldenhar's syndrome is discussed.
MadanR., TrikhaA., VenkataramanR.K., BatraR., KaliaP.Goldenhar's syndrome: an analysis of anaesthetic management. A retrospective study of seventeen cases.Anaesthesia1990; 45: 49–52.
8.
ScholtesJ.L., VeyckemansF., Van ObberghL., VerellenG., GribomontB.F.Neonatal anaesthetic management of a patient with Goldenhar's syndrome with hydrocephalus.Anaesth Intensive Care1987; 15: 338–340.
9.
WangC.Y., ChiuC.L., DelilkanA.E.Sevoflurane for difficult intubation in children.Br J Anaesth1998; 80: 408.
10.
SpaldingM.B., Ala-KokkoT.I.The use of inhaled sevoflurane for endotracheal intubation in epiglottitis.Anesthesiology1998; 89: 1025–1026.
11.
HandlerS.D., KeonT.P.Difficult laryngoscopy/intubation: the child with mandibular hypoplasia.Ann Oto Rhinol Laryngol1983; 92: 401–404.
12.
BerryF.A.Anesthesia for the child with the difficult airway. In: BerryF.A., ed. Anesthetic management of difficult and routine pediatric patients.New York: Churchill Livingstone, 1986; 137–168.
DennyN.M., DesilvaK.D., WebberP.A.Laryngeal mask airway for emergency tracheostomy in a neonate.Anaesthesia1990; 45: 895.
15.
HeardC.M., CaldicottL.D., FletcherJ.E., SelsbyD.S.Fiberoptic-guided endotracheal intubation via the laryngeal mask airway in pediatric patients: a report of a series of cases.Anesth Analg1996; 82: 1287–1289.
