학술논문
Bardet–Biedl syndrome: expect the unexpected, suspect the unsuspected.
Document Type
Case Study
Author
Source
Subject
*LAURENCE-Moon-Biedl syndrome
*LARYNGEAL diseases
*VELOCARDIOFACIAL syndrome
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Language
ISSN
2220-1181
Abstract
This is the first reported description of Bardet–Biedl syndrome (BBS) with the combination of a malacic bifid epiglottis and anterior laryngeal web. Anaesthesia for BBS has numerous concerns and these are reviewed, focusing on features that manifest not only in BBS but across a spectrum of syndromes that impact airway management. Congenital laryngeal anomalies (CLA) are rare and usually present preoperatively with upper airway obstruction and stridor. In asymptomatic infants, CLA may cause unexpected airway problems under anaesthesia which can be mistaken for more common occurrences, such as laryngospasm. Preoperative dysphonia may be the only clue to suspecting the presence of a CLA. The combination of obesity, polysyndactyly/brachydactyly and even subtle craniofacial abnormalities should always alert the anaesthetist to the possibility of a CLA and difficult airway. [ABSTRACT FROM PUBLISHER]