Growth causes difficult tracheal intubation in a patient with Kniest dysplasia

Segawa, Yoshio; Enomoto, Haruo; Nakagawa, Takako; Iijima, Yasushi

doi:10.1007/s005400170036

Cited by 5 publications

(2 citation statements)

References 5 publications

(4 reference statements)

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“…Although the capnogram wave form was maintained at a plateau without exhibiting an obstructive pattern or increase in peak airway pressure, the possible development of airway edema should be considered in patients with a collagenopathy. Segawa et al [8]. reported a case involving a patient with Kniest dysplasia in which increased difficulty in performing tracheal intubation occurred as the patient aged.…”

Section: Discussionmentioning

confidence: 99%

Unsuccessful tracheal intubation in a patient with Kniest dysplasia undergoing repeated general anesthesia: a case report

et al. 2018

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Background: Kniest dysplasia is a type of chondrodysplasia characterized by severe craniofacial abnormalities including tracheomalacia, midface hypoplasia, and cleft palate. Case presentation: We previously described a 6-year-old girl with Kniest dysplasia, in whom glottic edema rapidly developed after tracheal intubation. At the age of 13 years, a reoperation was scheduled to correct talipes equinovarus but was subsequently canceled due to failure of tracheal intubation and subsequent glottic edema. Airway evaluation by endoscopy and computed tomography 1 month later revealed severe laryngeal narrowing. Therefore, the second anesthesia was maintained with spinal anesthesia combined with sciatic nerve block without tracheal intubation. Conclusion: Careful perioperative airway evaluation is required in patients with Kniest dysplasia, and alternative strategies for airway management other than tracheal intubation should be considered.

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Section: Discussionmentioning

confidence: 99%

Unsuccessful tracheal intubation in a patient with Kniest dysplasia undergoing repeated general anesthesia: a case report

et al. 2018

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“…Individuals have lifelong orthopedic care for clubfoot and kyphoscoliosis. General anesthesia for Kniest individuals becomes challenging as they grow and develop, due to midface hypoplasia that makes difficult visualization of the glottis (Segawa et al, 2001). In the patients with micrognathia, mandibular distraction can be accomplished because new mandibular bone is created through intramembranous ossification and type II collagenopathy does not interfere with bone generation, although it would affect endochondral bone formation (Garza et al, 2017).…”

Section: Management and Treatment Complicationsmentioning

confidence: 99%

Orthodontic Treatment in a Patient With Kniest Dysplasia: A Case Study and Review of Literature

Jhamb

Masood

Arigo

et al. 2019

The Cleft Palate Craniofacial Journal

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Kniest dysplasia is a rare autosomal dominant chondrodysplasia that is characterized by distinct musculoskeletal and craniofacial irregularities. These craniofacial abnormalities include cleft palate, midface anomalies, tracheomalacia, and hearing loss. This article illustrates a case of Kniest dysplasia that presented for orthodontic treatment. The purpose of this literature review is to describe clinical manifestations, radiographic features, histopathological features, genetic mutation, and management of Kniest dysplasia.

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Kniest Dysplasia: MR Correlation of Histologic and Radiographic Peculiarities

Oestreich¹

2006

Yearbook of Diagnostic Radiology

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Growth causes difficult tracheal intubation in a patient with Kniest dysplasia

Cited by 5 publications

References 5 publications

Unsuccessful tracheal intubation in a patient with Kniest dysplasia undergoing repeated general anesthesia: a case report

Unsuccessful tracheal intubation in a patient with Kniest dysplasia undergoing repeated general anesthesia: a case report

Orthodontic Treatment in a Patient With Kniest Dysplasia: A Case Study and Review of Literature

Kniest Dysplasia: MR Correlation of Histologic and Radiographic Peculiarities

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