title: [Tracheal intubation using Airtraq optical laryngoscope in an adult patient with Goldenhar syndrome].
abstract: A 23-year-old woman with Goldenhar syndrome and conductive deafness was scheduled for tympanoplasty. Goldenhar syndrome is a developmental disorder characterized by ear malformation, mandibular hypoplasia, and vertebral anomalies. Furthermore, she had micrognathia, trismus, and mandibular hypoplasia. Awake taracheal intubation was attempted to prevent airway obstruction, because we had anticipated her difficult airway (micrognathia, trismus, and mandibular hypoplasia). The vocal cords were visualized with a Cormac and Lehane grade I, using the Airtraq optical laryngoscope Small (Size 2), under sedation. Then, an endotracheal tube was inserted after induction of general anesthesia. This is the first case report on the successful orotracheal intubation using Airtraq in an adult with Goldenhar syndrome.
authors.affiliation: Moka 321-4306 Department of Anesthesiology, Haga Red Cross Hospital, Moka 321-4306.
authors.forename: Hiromi
authors.initials: H
authors.lastname: Sasanuma
authors.forename: Yasunori
authors.initials: Y
authors.lastname: Niwa
authors.forename: Nobuhiro
authors.initials: N
authors.lastname: Shimada
authors.forename: Masanari
authors.initials: M
authors.lastname: Machida
authors.forename: Takeshi
authors.initials: T
authors.lastname: Irei
authors.forename: Kenji
authors.initials: K
authors.lastname: Hayashi
authors.forename: Mamoru
authors.initials: M
authors.lastname: Takeuchi
mesh_terms: D005260:Female; D006053:Goldenhar Syndrome / Q000150:complications*; D006801:Humans; D007442:Intubation, Intratracheal / Q000295:instrumentation; D020704:Laryngoscopes; D014433:Tympanoplasty; D014827:Vocal Cords / Q000473:pathology*; D055815:Young Adult