title: Retrograde fiberoptic technique to avoid tracheostomy in a patient with a tracheocutaneous fistula and Treacher Collins syndrome.
abstract: Children with Treacher Collins syndrome have multiple craniofacial abnormalities that can cause difficulty ventilating and intubating under general anesthesia. We describe a unique technique to secure an endotracheal tube via a retrograde technique using patent tracheocutaneous fistula and fiberoptic bronchoscopy. In this setting, the presence of a tracheocutaneous fistula spared tracheostomy in this patient.
authors.affiliation: Northwestern University Feinberg School of Medicine, Children's Memorial Hospital, Chicago, Illinois, USA. asawardekar@childrensmemorial.com
authors.forename: Amod
authors.initials: A
authors.lastname: Sawardekar
authors.forename: Narasimhan
authors.initials: N
authors.lastname: Jagannathan
authors.forename: Pravin K
authors.initials: PK
authors.lastname: Patel
authors.forename: Anisha
authors.initials: A
authors.lastname: Nadkarni
mesh_terms: D000293:Adolescent; D001999:Bronchoscopy; D005260:Female; D005336:Fiber Optic Technology; D005402:Fistula / Q000601:surgery*; D006801:Humans; D008334:Mandible / Q000601:surgery*; D008342:Mandibulofacial Dysostosis / Q000601:surgery; D014133:Tracheal Diseases / Q000601:surgery*; D014139:Tracheostomy