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General Anesthetic Management of a Patient With Spondyloepiphyseal Dysplasia Congenita Undergoing Palatoplasty Revision
Hiroka HattoriDDS,
Aiji Sato (Boku)DDS, PhD,
Mayuko KanazawaDDS, PhD,
Erika HaradaDDS,
Mami AsaiDDS,
Yuko ShikamaDDS,
Hiroko KobayashiDDS,
Makoto HirohataDDS,
Naoko TachiDDS, PhD, and
Masahiro OkudaMD, PhD
Article Category: Case Report
Volume/Issue: Volume 71: Issue 1
Online Publication Date: May 03, 2024
DOI: 10.2344/23-0005
Page Range: 19 – 23

vertebra), it may lead to quadriplegia or sudden death. 1 Various complications like airway stenosis due to laryngotracheal hypoplasia and intubation difficulties due to microgenia should be considered during the anesthetic management of patients with SEDC. For those patients with atlantoaxial instability, violent or excessive laryngeal manipulation during intubation and excessive movement of the head/neck during surgery may cause cervical vertebral dislocation. In addition, endotracheal tubes for patients with short stature should be cautiously selected because of the

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Figure 1. ; Lateral computed tomographic view of the patient's head showing hypoplasia of the condylar head of the temporomandibular joint and microgenia.
Hiroko Kanemaru,
Tatsuru Tsurumaki,
Shigenobu Kurata,
Yutaka Tanaka,
Hiroyuki Yoshikawa,
Yumiko Sato,
Yuki Kodama,
Akiko Suda,
Yurie Yamada, and
Kenji Seo
<bold>Figure 1.</bold>
Figure 1.

Lateral computed tomographic view of the patient's head showing hypoplasia of the condylar head of the temporomandibular joint and microgenia.

Figure 1.; Preoperative PA chest radiograph. No apparent morphologic aberrations were noted involving the respiratory tract.
Hiroka Hattori,
Aiji Sato (Boku),
Mayuko Kanazawa,
Erika Harada,
Mami Asai,
Yuko Shikama,
Hiroko Kobayashi,
Makoto Hirohata,
Naoko Tachi, and
Masahiro Okuda
Figure 1.
Figure 1.

Preoperative PA chest radiograph.

No apparent morphologic aberrations were noted involving the respiratory tract.

Figure 3.; Lateral views of the endotracheal tube (ett) positioning postintubation. Left: Before the sponge was inserted. Right: After the sponge was inserted between the ETT bend and the patient’s lip to preclude 1-lung ventilation.
Hiroka Hattori,
Aiji Sato (Boku),
Mayuko Kanazawa,
Erika Harada,
Mami Asai,
Yuko Shikama,
Hiroko Kobayashi,
Makoto Hirohata,
Naoko Tachi, and
Masahiro Okuda
Figure 3.
Figure 3.

Lateral views of the endotracheal tube (ett) positioning postintubation.

Left: Before the sponge was inserted. Right: After the sponge was inserted between the ETT bend and the patient’s lip to preclude 1-lung ventilation.

Figure 2.; Lateral and frontal views of the patient prior to intubation. Her cervical spine was protected by the cervical collar.
Hiroka Hattori,
Aiji Sato (Boku),
Mayuko Kanazawa,
Erika Harada,
Mami Asai,
Yuko Shikama,
Hiroko Kobayashi,
Makoto Hirohata,
Naoko Tachi, and
Masahiro Okuda
Figure 2.
Figure 2.

Lateral and frontal views of the patient prior to intubation.

Her cervical spine was protected by the cervical collar.

JDSA JOURNAL ABSTRACTS
Article Category: Other
Volume/Issue: Volume 61: Issue 2
Online Publication Date: Jan 01, 2014
DOI: 10.2344/0003-3006-61.2.85
Page Range: 85 – 87

with a camera at the tip of the blade, and it generally provides good indirect glottic visualization. We previously reported that GS was useful in cases with difficult intubation, except in neonatal patients who had severe microgenia. For these patients, it was necessary to use a fiberscope for intubation. Therefore, additional studies regarding difficult intubation in neonatal patients are required. Here, we report two cases of neonatal patients who had severe microgenia due to the Pierre Robin sequence in which a new type of GS [GS Cobalt (GS–C)] was

Endotracheal Intubation Complicated by a Palatal Tooth in a Patient With Treacher Collins Syndrome
Hiroko KanemaruDDS, PhD,
Tatsuru TsurumakiDDS, PhD,
Shigenobu KurataDDS, PhD,
Yutaka TanakaDDS, PhD,
Hiroyuki YoshikawaDDS, PhD,
Yumiko SatoDDS, PhD,
Yuki KodamaDDS,
Akiko SudaDDS, PhD,
Yurie YamadaDDS, PhD, and
Kenji SeoDDS, PhD
Article Category: Brief Report
Volume/Issue: Volume 66: Issue 1
Online Publication Date: Jan 01, 2019
DOI: 10.2344/anpr-66-02-01
Page Range: 42 – 43

oral cavity, resulting in failed oral endotracheal intubation. To proceed, another anesthesiologist elevated the epiglottic vallecula using the King Vision video laryngoscope, and the first anesthesiologist was then able to introduce the fiberscope to complete endotracheal intubation. Figure 1. Lateral computed tomographic view of the patient's head showing hypoplasia of the condylar head of the temporomandibular joint and microgenia. Figure 1. Lateral computed tomographic view of the