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Four different airway-management strategies in patient with Launois-Bensaude syndrome or Madelung's disease undergoing surgical excision of neck lipomatosis with a complicated postoperative course.

Abstract
Launois-Bensaude syndrome, otherwise known as Madelung's disease, is a rare disorder characterized by fatty accumulations of the upper trunk, neck and head, causing serious cosmetic deformity and neck immobility. We report a case of a patient with Launois-Bensaude syndrome who required 4 different airway management strategies during his hospitalization for postoperative complications after an elective surgical excision of a severe neck lipomatosis. Anesthesiologists who treat patients with Madelung's disease should be aware of 2 major problems: difficult airway and increased frequency of postoperative bleeding. A proper choice of airway management technique is therefore necessary, including a safe intubation and extubation plan to reduce the consequences of airway complications.
AuthorsTatjana Stopar, Vesna Novak Jankovic, Andrea Casati
JournalJournal of clinical anesthesia (J Clin Anesth) Vol. 17 Issue 4 Pg. 300-3 (Jun 2005) ISSN: 0952-8180 [Print] United States
PMID15950858 (Publication Type: Case Reports, Journal Article)
Topics
  • Humans
  • Intubation, Intratracheal (methods)
  • Laryngeal Masks
  • Lipomatosis, Multiple Symmetrical (surgery)
  • Male
  • Middle Aged
  • Postoperative Hemorrhage (etiology)

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