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[General anesthesia in a patient with Cornelia de Lange syndrome with restricted opening of the mouth].

Abstract
Patients with Cornelia de Lange syndrome have many anomalies including micrognathia with a small mouth, a high arched palate, and a short neck, which might make laryngoscopy for tracheal intubation difficult during induction of general anesthesia. General anesthesia was performed in a patient with Cornelia de Lange syndrome, and restricted opening of the mouth, which had not been reported previously, was found during laryngoscopy. The possible causes were thought to be temporo-mandibular joint disorders, contracture of the masseter muscle due to injury by self-destructive tendencies, or elogated coronoid process. The potential difficulty with laryngoscopy should be considered for tracheal intubation in a patient with Cornelia de Lange syndrome.
AuthorsT Yo, I Noguchi, T Kimura, M Sasao, Y Amemiya, H Sekiya, K Kobayashi
JournalMasui. The Japanese journal of anesthesiology (Masui) Vol. 47 Issue 5 Pg. 611-4 (May 1998) ISSN: 0021-4892 [Print] Japan
PMID9621675 (Publication Type: Case Reports, English Abstract, Journal Article)
Topics
  • Adult
  • Anesthesia, General (methods)
  • De Lange Syndrome
  • Humans
  • Intubation, Intratracheal
  • Laryngoscopy
  • Male

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