Videolaryngoscope-Assisted Fibreoptic Tracheal Intubation in a Young Adolescent with Hunter Syndrome for Posterior Cervical Fusion

Zabir AF, Frawley G, Squire P

Abstract


We here describe a videolaryngoscope assisted fibreoptic tracheal intubation in a 17-year-old patient with Hunter Syndrome (Mucopolysaccharidosis Type II) and known difficult intubation who required posterior cervical fusion surgery for cervical canal stenosis. The patient had a history of failed nasal and oral fibreoptic intubation. The use of a videolaryngoscope enabled continuous visualization of the tracheal inlet and allowed a straightforward nasal fibreoptic intubation attempt without complications. This report suggests a viable alternative for the management of a known difficult airway in children with mucopolysaccharidosis.

Keywords


Mucopolysaccharidosis II, enzyme replacement therapy, anesthesia, neurosurgery, laryngoscopy, intubation

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e-issn 2231-7481