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We present a case of an infant patient with Robin sequence (Pierre Robin sequence; PRS) who underwent general anesthesia for a glossopexy procedure. Pediatric patients with PRS are prone to upper airway obstruction during general anesthesia induction and intubation difficulties due to micrognathia and glossoptosis. In this case, we facilitated mask ventilation by inserting a nasopharyngeal airway before induction and successfully intubated the patient using a 2-person technique that combined the use of a video laryngoscope and a flexible fiber-optic scope. This experience suggests that the use of appropriate devices can help ensure airway patency and enhance visualization and maneuverability during intubation.

Keywords: Robin sequence; Nasopharyngeal airway; Two-person technique; Fiberscope; Glidescope Cobalt; Pierre Robin sequence
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Copyright: © 2024 by the American Dental Society of Anesthesiology
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.


Contributor Notes

Address correspondence to Dr Chiaki Yoshikawa, Kobe Dental Association Kobe Dental Center, 5-1-1-201, Futaba-Cho, Nagata-ku, Kobe, Japan; cy911227@gmail.com.
Received: Mar 15, 2022
Accepted: May 25, 2022