Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

Users Online : 40037

Case report
Table of Contents - Year : 2012 | Month : August | Volume : 6 | Issue : 6 | Page : 1089 - 1091

Treacher Collins Syndrome: Case Report of a Patient with a Difficult Airway 1089-1091

Vibha Kukreja, Sudha Khurana, Gurbaksh Kohli, Rakesh Sadhu

Correspondence
Dr. Vibha Kukreja Resident, Department of Anaesthesiology, M.M Institute of Medical Sciences and Research, Mullana, Haryana, India - 133207. E-mail: vbkukreja@gmail.com

Treacher Collinís syndrome (TCS) or mandibulofacial dysostosis is a rare inherited condition which is characterized by bilateral and symmetric abnormalities of the structures within the first and second bronchial arches. The patients with TCS present a serious problem to the anaesthetists in maintaining their airway, as upper airway obstruction and a difficult tracheal intubation due to a severe facial deformity make such a task difficult.Because of retrognathia, the airway management of these patients is often challenging. A 30-year male who was diagnosed with Treacher Collins Syndrome (TCS) was posted for surgery for bilateral temporomandibular joint ankylosis. He presented with dysmorphic facial features, and a difficulty in breathing, sleeping and in lying down since birth. In this case, the most challenging task was induction of anaesthesia and securing the airway.