[General anesthesia in a patient with Cornelia de Lange syndrome with restricted opening of the mouth].
Patients with Cornelia de Lange syndrome have many anomalies including micrognathia with a small mouth, a high arched palate, and a short neck, which might make laryngoscopy for tracheal intubation difficult during induction of general anesthesia. General anesthesia was performed in a patient with Cornelia de Lange syndrome, and restricted opening of the mouth, which had not been reported previously, was found during laryngoscopy. The possible causes were thought to be temporo-mandibular joint disorders, contracture of the masseter muscle due to injury by self-destructive tendencies, or elogated coronoid process. The potential difficulty with laryngoscopy should be considered for tracheal intubation in a patient with Cornelia de Lange syndrome.
Yo
T
T
Department of Dental Anesthesiology, School of Dental Medicine, Tsurumi University, Yokohama.
Noguchi
I
I
Kimura
T
T
Sasao
M
M
Amemiya
Y
Y
Sekiya
H
H
Kobayashi
K
K
D000328:Adult; D000768:Anesthesia, General / Q000379:methods*; D003635:De Lange Syndrome; D006801:Humans; D007442:Intubation, Intratracheal; D007828:Laryngoscopy; D008297:Male