2025, Vol. 8, Issue 2, Part A
Combined Fiberoptic and video Laryngoscopic intubation for difficult airway management in a child with turner syndrome and isolated secondary cleft palate
Author(s): Varsha B Shetty, Purvashree Deshmukh and Ravi Kerur
Abstract: Turner syndrome and craniofacial abnormalities, such as cleft palate, can contribute to significant challenges in airway management due to associated dysmorphic features. Here is the case of a 14 year old girl suspected to have TS with palatal discontinuity scheduled for primary palate repair under general anaesthesia. During the pre-anaesthetic evaluation, she exhibited short stature, a webbed neck, facial dysmorphic features, and restricted mouth opening, indicating a potentially difficult airway. Awake fiberoptic intubation was planned with alternative strategies and airway optimization using local anaesthetics. However, multiple attempts were unsuccessful by a large, edematous epiglottis obscuring the glottic opening. A combined approach utilizing awake fiberoptic bronchoscopy and C-Mac video laryngoscopy successfully facilitated intubation without complications. This case underscores the importance of thorough preoperative assessment, meticulous planning for handling a difficult airway, and the necessity of backup plans to address potential challenges effectively.
DOI: 10.33545/26643766.2025.v8.i2a.549
Pages: 04-06 | Views: 80 | Downloads: 45
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How to cite this article:
Varsha B Shetty, Purvashree Deshmukh, Ravi Kerur. Combined Fiberoptic and video Laryngoscopic intubation for difficult airway management in a child with turner syndrome and isolated secondary cleft palate. Int J Med Anesthesiology 2025;8(2):04-06. DOI: 10.33545/26643766.2025.v8.i2a.549
