Airway management in Escobar syndrome: A formidable challeng
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Escobar syndrome is a rare autosomal recessive disorder characterized by flexion joint and digit contractures, skin webbing, cleft palate, deformity of the spine and cervical spine fusion. The Associated difficult airway is mainly due to micrognathia, retrognathia, webbing of neck and limitation of the mouth opening and neck extension. We report a case of a 1-year-old child with Escobar syndrome posted for bilateral hamstrings to quadriceps transfer. The child had an adequate mouth opening with no evidence of cervical spine fusion, yet we faced difficulty in intubation which was ultimately overcome by securing a proseal laryngeal mask airway (PLMA) and then by intubating with an endotracheal tube railroaded over a paediatric fiberoptic bronchoscope passed through the lumen of a PLMA.

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Dr. R●●●●●h J●●n and 3 others like this
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