Document Detail


Difficult airway in a pediatric patient with Klippel-Feil syndrome and an unexpected lingual tonsil.
MedLine Citation:
PMID:  21364504     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Klippel-Feil Syndrome (KFS) is a congenital defect characterized by the fusion of at least two cervical vertebrae. This article presents the case of a 12-year-old girl with KFS planned for scoliosis surgery. A short, rigid neck and limited mouth opening were predictors of difficult airway access. After failing multiple intubation attempts employing several devices, the case was postponed. Imaging tests showed lingual tonsil hypertrophy and a deviation of the tracheal axis, clarifying the causes of the failed intubation and suggesting new approaches for airway management. As far as we know, the association of KFS and lingual tonsil hypertrophy has not been reported before in the literature.
Authors:
M Goñi-Zaballa; A Pérez-Ferrer; P Charco-Mora
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-3-01
Journal Detail:
Title:  Minerva anestesiologica     Volume:  -     ISSN:  1827-1596     ISO Abbreviation:  -     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-3-2     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0375272     Medline TA:  Minerva Anestesiol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Department of Anaesthesia and Resuscitation, University Hospital La Paz, Madrid, Spain - mariagonizaballa@gmail.com.
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