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Paediatr Anaesth. 1997;7(4):345-8.

Freeman-Sheldon (whistling face) syndrome. Anaesthetic and airway management.

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Section of Pediatric Anesthesiology, C. S. Mott Children's Hospital, Ann Arbor, MI 48109, USA.


We describe the anaesthetic management of Freeman-Sheldon syndrome in a two-and-a-half year old undergoing club foot correction. Following an inhalational induction using halothane, tracheal intubation by direct laryngoscopy proved impossible. A laryngeal mask airway was inserted and intubation with a 4.5 tracheal tube was successfully achieved using a fibreoptic bronchoscope passed through the LMA. The child had an uneventful anaesthetic course. A caudal epidural was used for postoperative analgesia and the child was discharged home on day two. The anaesthetic and airway management options of this syndrome are outlined.

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