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Case Reports
[General anesthesia in a patient with Cornelia de Lange syndrome with restricted opening of the mouth].
- T Yo, I Noguchi, T Kimura, M Sasao, Y Amemiya, H Sekiya, and K Kobayashi.
- Department of Dental Anesthesiology, School of Dental Medicine, Tsurumi University, Yokohama.
- Masui. 1998 May 1;47(5):611-4.
AbstractPatients 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.
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