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J Clin Anesth. 1999 May;11(3):254-6.

Tracheal intubation in a child with trismus pseudocamptodactyly (Hecht) syndrome.

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Department of Anesthesiology, Stanford University Medical Center, CA 94305, USA.


Tracheal intubation of a child with trismus pseudocamptodactyly (Hecht) syndrome is described. This disorder is characterized by progressive trismus and the need for repeated surgeries. Children intubated orally on a prior occasion may require an alternative approach subsequently due to progressive inability to open the mouth. An antegrade fiberoptic-guided nasotracheal technique initially was chosen due to extremely limited mouth opening. After this approach was unsuccessful, a retrograde guidewire-assisted fiberoptic intubation was performed. The manifestations of Hecht syndrome, as well as both techniques for tracheal intubation employed, are reviewed.

[Indexed for MEDLINE]

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