[A case of Marshall-Smith syndrome].
Marshall-Smith syndrome (MSS) is a rare clinical disorder, characterized by accelerated skeletal maturation, facial anomalies, failure to thrive and death in early infancy due to respiratory complications. We experienced the difficult airway case with MSS. A 4-year-old boy underwent tenosynovectomy for the snapping finger. Although his upper airway was diagnosed as almost normal on the fiber-optic laryngoscope examination, he frequently showed pharyngeal collapse during sleep. Anesthesia was induced and maintained with N2O-O2-sevoflurane using oral-airway without muscle relaxants. But, when we inserted the laryngoscope in order to clarify the existence of the difficult intubation, we could only see a part of the epiglottis. We concluded that we must treat MSS as difficult airway and intubation, even if in the mild case of MSS.
D000015:Abnormalities, Multiple; D000768:Anesthesia, General / Q000379:methods*; D001848:Bone Diseases, Developmental; D002675:Child, Preschool; D005145:Face / Q000002:abnormalities; D005384:Finger Joint / Q000601:surgery; D006130:Growth Disorders; D006801:Humans; D007442:Intubation, Intratracheal; D008297:Male; D011596:Psychomotor Disorders; D015619:Respiratory System Abnormalities; D013577:Syndrome; D013710:Tendons / Q000601:surgery; D013717:Tenosynovitis / Q000601:surgery