We report a case of difficult endotracheal intubation in a patient with Treacher Collins syndrome. A sixteen-year-old female patient scheduled for general anesthesia had a displaced palatal tooth that interfered with laryngoscope insertion into the pharyngeal space. To address this problem, we successfully performed endotracheal intubation using a fiberscope while elevating the epiglottic vallecula using a King Vision™ video laryngoscope. A later operation was performed after tooth extraction without difficult laryngoscopy. Our experience stresses the importance of removing obstructions to laryngoscopic inspection prior to general anesthesia.
Lateral computed tomographic view of the patient's head showing hypoplasia of the condylar head of the temporomandibular joint and microgenia.
Photograph of the malpositioned palatal tooth.
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eISSN: 1878-7177
ISSN: 0003-3006