Orotracheal intubation through the laryngeal mask airway in paediatric patients with Treacher-Collins syndrome.
The laryngeal mask airway (LMA) is useful as an airway intubator (conduit) for an intubating tracheal bougie or fibreoptic bronchoscope, over which a tracheal tube is passed. However, in our paediatric patients with Treacher-Collins syndrome, only the latter technique was successful. This was attributed to the fact that a posteriorly protruded tongue displaced the LMA, made the glottis move considerably anterior and interfered with the attempts to enter the trachea with a bougie. Downward displacement of the epiglottis, which can sometimes impair the intubation technique through the LMA, was not observed in our patients. Partial obstruction of a tracheal tube within the LMA occurred in one of the patients.
D000402:Airway Obstruction / Q000209:etiology; D000769:Anesthesia, Inhalation; D001193:Arytenoid Cartilage / Q000473:pathology; D020680:Bronchoscopes; D002971:Cleft Lip / Q000601:surgery; D002972:Cleft Palate / Q000601:surgery; D004825:Epiglottis / Q000473:pathology; D004868:Equipment Failure; D005336:Fiber Optic Technology / Q000295:instrumentation; D005931:Glottis / Q000473:pathology; D006801:Humans; D007223:Infant; D007442:Intubation, Intratracheal / Q000295:instrumentation / Q000379:methods*; D017214:Laryngeal Masks; D008297:Male; D008342:Mandibulofacial Dysostosis / Q000601:surgery*; D013499:Surface Properties; D014059:Tongue / Q000473:pathology