title: [Difficult tracheal intubation with von Recklinghausen disease].
abstract: We experienced a case of difficult tracheal intubation in a 15-year-old boy with von Recklinghausen disease scheduled for resection of a right neck tumor. His scoliosis made it difficult to intubate and to manage airway because he easily developed dyspnea. We tried nasotracheal intubation with the patient awake under sedation using a bronchofiberscope, but we found an unexpected tumor jeopardizing his airway patency near his vocal cord. Preoperative examination of a tumor in the airway is essential in the anesthetic management of the patients with von Recklinghausen disease.
authors.affiliation: Department of Anesthesiology and Critical Care Medicine, Gifu University School of Medicine.
authors.forename: K
authors.initials: K
authors.lastname: Nagase
authors.forename: S
authors.initials: S
authors.lastname: Akamatsu
authors.forename: N
authors.initials: N
authors.lastname: Ueda
authors.forename: H
authors.initials: H
authors.lastname: Shimonaka
authors.forename: S
authors.initials: S
authors.lastname: Dohi
mesh_terms: D000293:Adolescent; D000769:Anesthesia, Inhalation; D000771:Anesthesia, Intravenous; D019162:Anesthetics, Combined; D018685:Anesthetics, Inhalation; D018686:Anesthetics, Intravenous; D005283:Fentanyl; D006258:Head and Neck Neoplasms / Q000601:surgery; D006801:Humans; D007442:Intubation, Intratracheal / Q000379:methods*; D007530:Isoflurane; D008297:Male; D008874:Midazolam; D009456:Neurofibromatosis 1 / Q000601:surgery*; D009609:Nitrous Oxide
chemical_list: D019162:Anesthetics, Combined; D018685:Anesthetics, Inhalation; D018686:Anesthetics, Intravenous; D007530:Isoflurane; D009609:Nitrous Oxide; D008874:Midazolam; D005283:Fentanyl