title: Anesthetic management in a child with Rolland-Desbuquois type dyssegmental dysplasia.
abstract: A case of a 17-month-old boy with dissegmental dysplasia of the Rolland-Desbuquois type, who was scheduled for bilateral inguinal herniotomy, is presented. Preoperative assessment showed limited mouth opening, head extension, and kyphosis. Intubation with a size 4 mm endotracheal tube (ETT) was achieved with fiberoptic bronchoscopy, after which surgery proceeded uneventfully and the ETT was carefully removed. Copious airway secretions required frequent suctioning. On the second postoperative day, respiratory status stabilized, and the patient was discharged home.
authors.affiliation: Department of Anesthesiology, Osaka City General Hospital and Children's Hospital, Osaka 534-0021, Japan. Electronic address: ryuokutani0909@ybb.ne.jp.
authors.forename: Ryu
authors.initials: R
authors.lastname: Okutani
authors.affiliation: Department of Anesthesiology, Osaka City General Hospital and Children's Hospital, Osaka 534-0021, Japan.
authors.forename: Yu
authors.initials: Y
authors.lastname: Arima
authors.affiliation: Department of Anesthesiology, Osaka City General Hospital and Children's Hospital, Osaka 534-0021, Japan.
authors.forename: Yutaka
authors.initials: Y
authors.lastname: Oda
mesh_terms: D000130:Achondroplasia / Q000503:physiopathology*; D000777:Anesthetics / Q000008:administration & dosage*; D001999:Bronchoscopy / Q000379:methods; D055036:Campomelic Dysplasia / Q000503:physiopathology*; D002972:Cleft Palate / Q000503:physiopathology*; D005336:Fiber Optic Technology; D006552:Hernia, Inguinal / Q000601:surgery*; D059685:Herniorrhaphy / Q000379:methods*; D006801:Humans; D007223:Infant; D007442:Intubation, Intratracheal / Q000379:methods; D008297:Male
chemical_list: D000777:Anesthetics
keywords: Difficult airway management; Dyssegmental dysplasia; General anesthesia; Pediatrics; Rolland-Desbuquois type