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Nicolaides-Baraitser syndrome (NCBRS) is a rare congenital genetic disorder characterized by distinctive facial features similar to Treacher Collins syndrome (TCS). We report the first case of successful nasal fiberoptic intubation in a patient with NCBRS with micrognathia and limited mouth opening due to trismus. A 9-year-old girl with NCBRS and dental caries was scheduled to undergo general anesthesia for a dental extraction. Initial attempts at oral intubation using a video laryngoscope were unsuccessful. However, subsequent attempts at nasal intubation using a flexible fiberoptic scope were successful. This report highlights that patients with NCBRS may present with difficult airways to manage and intubate.

Keywords: Nicolaides-Baraitser syndrome; Difficult airway; Fiberoptic intubation; Pediatric anesthesia
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Copyright: © 2021 by the American Dental Society of Anesthesiology
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Article Contents

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 Keiko Fujii-Abe DDS, PhD,
 Sayaka Akitomi DDS,
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