Klippel-Fiel syndrome and anesthetic challenges
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ABSTRACT :
Klippel-Fiel syndrome is one of the common congenital causes of difficult airway which is characterized by failure of normal segmentation of cervical vertebra resulting in short neck with restricted movement and cervical instability. This anomaly increases the risk of neurological damage during airway instrumentation like laryngoscopy and positioning for surgery. We report a case of 60 year old female patient with Klippel-Fiel syndrome posted for ear surgery under general anesthesia. She was successfully managed by using awake fibreoptic technique for endotracheal intubation.

CASE REPORT

A 60 year old female was planned for recannaliztion of ear for external auditory canal stenosis under general anesthesia. On preanesthetic checkup, she was found to be short statured with 145 cm height and 65 kg weight. On airway examination, she had short, webbed neck and limited neck extension and flexion movements and a low-lying posterior hair line (Figure 1).......

http://www.apicareonline.com/klippel-fiel-syndrome-and-anesthetic-challenges-a-case-report-and-review-of-literature/
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