title: Alternative Methods for Nasotracheal Intubation and Extubation in a Patient With Apert Syndrome.
abstract: Apert syndrome is a rare autosomal dominant disorder characterized by craniofacial abnormalities, craniosynostosis and syndactyly. Nasotracheal intubation for a patient with Apert syndrome can be a challenge because of abnormal facial anatomy. We experienced the anesthetic management of a patient with Apert syndrome who underwent partial resection of mandible and cleft palate repair with nasotracheal intubation. Nasotracheal intubation using a gastric tube and extubation using an airway exchange catheter proved useful in this case of airway compromise.
authors.affiliation: Department of Dental Anesthesiology, Faculty of Dental Science, Kyushu University, Fukuoka, Japan.
authors.forename: Masanori
authors.initials: M
authors.lastname: Tsukamoto
authors.affiliation: Department of Dental Anesthesiology, Faculty of Dental Science, Kyushu University, Fukuoka, Japan.
authors.forename: Takeshi
authors.initials: T
authors.lastname: Yokoyama
mesh_terms: D000168:Acrocephalosyndactylia / Q000150:complications*; D000293:Adolescent; D060666:Airway Extubation / Q000295:instrumentation / Q000379:methods*; D000402:Airway Obstruction / Q000517:prevention & control; D018685:Anesthetics, Inhalation / Q000008:administration & dosage; D005260:Female; D006801:Humans; D007441:Intubation, Gastrointestinal / Q000295:instrumentation; D007442:Intubation, Intratracheal / Q000295:instrumentation / Q000379:methods*; D020704:Laryngoscopes; D008339:Mandibular Neoplasms / Q000601:surgery*; D008738:Methyl Ethers / Q000008:administration & dosage; D009808:Odontogenic Tumors / Q000601:surgery; D011183:Postoperative Complications / Q000517:prevention & control; D000077149:Sevoflurane
chemical_list: D018685:Anesthetics, Inhalation; D008738:Methyl Ethers; D000077149:Sevoflurane
keywords: Apert syndrome; General anesthesia; Nasotracheal intubation