Difficult mask ventilation made easy: Three cases of Parry-R
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Parry-Romberg syndrome presenting as hemifacial atrophy poses various perioperative problems due to multi-system involvement. These patients have several anaesthetic implications which are published as case reports. In spite of several case reports, airway issues associated with this disease is under-discussed. The treatment aims at improving aesthetics with fat grafts, silicone injections or acrylic prosthesis. The pathophysiology is likely to have an acquired autoimmune mechanism and usually manifests in the first or second decade of life. Clinically, it overlaps with scleroderma "en coup de sabre" and other congenital anomalies such as Treacher Collins and Goldenhar syndrome. This report of three cases discusses airway difficulties and the multiple methods to tackle them in an easier way by focussing concentration on airway assessment and appropriate preoperative planning...

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