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Repeated Anesthetic Management for a Patient With Klippel-Feil Syndrome
Yuri HasePhD,
Nobuhito KamekuraPhD,
Toshiaki FujisawaPhD, and
Kazuaki FukushimaPhD
Article Category: Other
Volume/Issue: Volume 61: Issue 3
Online Publication Date: Jan 01, 2014
DOI: 10.2344/0003-3006-61.3.103
Page Range: 103 – 106

surgeries for a KFS patient with micrognathia. CASE REPORT A 27-year-old woman (160 cm, 44 kg) was scheduled for surgical treatment of her skeletal maxillary protrusion with mandibular retrognathia. She had an extremely small mandible and significant retrognathia, with an overjet (horizontal distance between the maxilla and mandible) of 18 mm. She could not make a forward motion of the mandible, and cervical extension was limited. Airway examination revealed that her Mallampati score was class 4, although she did not have a short neck. Mouth

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; Clinical photographs demonstrating key aspects of the patient's facial features: flat nasal bridge, ocular hypertelorism, micrognathia, and a “carp-shaped” mouth.
Midori Maekawa,
Makoto Yasuda,
Haruka Sasaki,
Yasuharu Tachinami, and
Kentaro Mizuta
Figure 1.; Facial appearance of this patient shows slight degree of micrognathia and mandibular retraction, blepharodiastasis, short neck and hypoplastic nose wings.
Figure 1.
Figure 1.

Facial appearance of this patient shows slight degree of micrognathia and mandibular retraction, blepharodiastasis, short neck and hypoplastic nose wings.

Figure.; Lateral Facial View of the Patient With Micrognathia This patient with PRS had upper airway obstruction due to micrognathia and glossoptosis and was emaciated due to physical exhaustion from respiratory efforts. Difficulty with mask ventilation and intubation was easily anticipated.
Chiaki Yoshikawa,
Chizuko Yokoe,
Hiroharu Maegawa, and
Hitoshi Niwa
Figure.
Figure.

Lateral Facial View of the Patient With Micrognathia

This patient with PRS had upper airway obstruction due to micrognathia and glossoptosis and was emaciated due to physical exhaustion from respiratory efforts. Difficulty with mask ventilation and intubation was easily anticipated.

; (a) Intraoral image showing significant trismus and carious lower right first molar. (b) Lateral view of the patient's face demonstrating mandibular micrognathia and retrognathia. (c) Limited mouth opening (∼1 cm) under general anesthesia.
Saori Taharabaru,
Takehito Sato, and
Kimitoshi Nishiwaki

(a) Intraoral image showing significant trismus and carious lower right first molar. (b) Lateral view of the patient's face demonstrating mandibular micrognathia and retrognathia. (c) Limited mouth opening (∼1 cm) under general anesthesia.

Anesthetic Management of a Patient With Emanuel Syndrome
Masanori TsukamotoDDS, PhD,
Takashi HitosugiDDS, PhD,
Kanako EsakiDDS, and
Takeshi YokoyamaDDS, PhD
Article Category: Case Report
Volume/Issue: Volume 63: Issue 4
Online Publication Date: Jan 01, 2016
DOI: 10.2344/16-00028.1
Page Range: 201 – 203

Emanuel syndrome is a rare recessive hereditary disorder, first described in 1976. 1 Most of the clinical information was published in the 1980s. 2 The features include tracheomalacia, micrognathia, seizure disorder, and congenital heart disease. 3 , 4 However, anesthetic management of these patients has been only minimally reported. 4 , 5 We report a case of a patient with Emanuel syndrome undergoing palatoplasty under general anesthesia. CASE REPORT The patient was a 2-year-old boy, 82.3 cm (32.4 in) in

Experience of General Anesthesia for Glossopexy in Infants With Robin Sequence
Chiaki YoshikawaDDS, PhD,
Chizuko YokoeDDS, PhD,
Hiroharu MaegawaDDS, PhD, and
Hitoshi NiwaDDS, PhD
Article Category: Brief Report
Volume/Issue: Volume 71: Issue 4
Online Publication Date: Dec 04, 2024
DOI: 10.2344/anpr-24-0004
Page Range: 197 – 198

Pediatric patients with Robin sequence (Pierre Robin sequence; PRS) are prone to upper airway obstruction during induction of general anesthesia and difficulties with airway management and intubation due to micrognathia and glossoptosis. Careful attention should be paid during the induction of infants with a tendency toward airway obstruction, especially those with mask ventilation concerns. For airway management during general anesthesia in this case involving a young infant girl with PRS, we inserted a nasopharyngeal airway before induction, which facilitated

Difficult Airway Management in a Patient With Nicolaides-Baraitser Syndrome Who Had a Small Jaw and Limited Mouth Opening
Saori TaharabaruDDS,
Takehito SatoMD, and
Kimitoshi NishiwakiMD, PHD
Article Category: Brief Report
Volume/Issue: Volume 68: Issue 1
Online Publication Date: Apr 07, 2021
DOI: 10.2344/anpr-67-04-05
Page Range: 47 – 49

Nicolaides-Baraitser syndrome (NCBRS) is a very rare congenital genetic disorder with the characteristic findings of developmental delay, dysmorphic facial features, seizures, small stature, and sparse hair. 1 Herein, we present the first anesthetic report of a patient with NCBRS who had micrognathia, limited mouth opening, and a difficult airway that was successfully managed and nasally intubated with a flexible fiberoptic scope (FS) during general anesthesia for dental treatment. CASE REPORT The patient was a 9

Perioperative Management of a Patient With Cornelia de Lange Syndrome and Tetralogy of Fallot
Atsushi NakajimaPhD, DDS,
Akira OhshimaDDS,
Haruhisa FukayamaPhD, DDS, and
Tatsuki KinoshitaPhD, DDS
Article Category: Brief Report
Volume/Issue: Volume 66: Issue 3
Online Publication Date: Jan 01, 2019
DOI: 10.2344/anpr-66-04-02
Page Range: 159 – 161

Cornelia de Lange syndrome (CdL) is characterized by growth disturbances (short stature, micrognathia), intellectual disability, congenital heart disease (ventricular septal defect [VSD], atrial septal defect, pulmonary stenosis, tetralogy of Fallot [TOF]) and multiple other physical malformations (abnormalities of bones in the arms, hands, and fingers, low-set ears, small and upturned nose). Here is a report of a case involving general anesthesia for a 21-year-old patient with CdL and unrepaired TOF, further complicated by micrognathia

Anesthetic Management of a Patient With Ring 18 Syndrome
Midori MaekawaDDS, PhD,
Makoto YasudaDDS, PhD,
Haruka SasakiDDS,
Yasuharu TachinamiDDS, PhD, and
Kentaro MizutaDDS, PhD
Article Category: Brief Report
Volume/Issue: Volume 68: Issue 3
Online Publication Date: Oct 04, 2021
DOI: 10.2344/anpr-68-03-01
Page Range: 178 – 179

Ring 18 syndrome or ring chromosome 18 is a rare genetic abnormality, with ∼70 cases reported worldwide. Although patients may rarely present with few, or even lack, apparent symptoms, common clinical manifestations include congenital heart defects, low height, craniofacial abnormalities such as microcephaly and micrognathia, and intellectual disability. Here, we report the general anesthetic management of a patient with ring chromosome 18 for dental treatment. CASE REPORT A 20-year-old man (weight 28.8 kg; height