Airway involvement and anesthetic management in Goltz's syndrome.

Abstract:

:A 13-year-old girl with Goltz's (Goltz-Gorlin) syndrome (focal dermal hypoplasia) and cloacal exstrophy underwent day surgery cystoscopy. During the administration of inhalation anesthesia by mask, persistent partial upper airway obstruction was noted. Direct laryngoscopy unexpectedly showed variously sized verrucous lesions in the hypopharynx and supraglottic larynx, and the vocal cords and trachea could not be visualized. The patient later returned for a complete endoscopic examination, followed by cup forcep and laser excision of these verrucous and pedunculated lesions, and remained intubated in the intensive care unit (ICU) for 48 hours following this procedure. Airway management and pathology specific to this rare disorder are discussed.

journal_name

J Clin Anesth

authors

Holzman RS

doi

10.1016/0952-8180(91)90190-x

subject

Has Abstract

pub_date

1991-09-01 00:00:00

pages

422-5; discussion 426

issue

5

eissn

0952-8180

issn

1873-4529

pii

0952-8180(91)90190-X

journal_volume

3

pub_type

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