Case report details anesthetic management challenges in a 16-year-old with parry-romberg syndrome, highlighting airway access and techniques.
Parry-Romberg syndrome (PRS), also known as progressive hemifacial atrophy, is a rare condition characterized by unilateral degeneration of facial tissues. This case report details the anesthetic management of a 16-year-old female with PRS scheduled for elective dental surgery. The patient's facial asymmetry and restricted mouth opening posed significant challenges for airway access, necessitating a customized anesthetic plan. Despite difficulties with visualization and nasal intubation due to anatomical limitations, the airway was successfully managed using video laryngoscopy and blind nasal intubation. The procedure proceeded without complications, and the patient had an uneventful recovery. This case highlights the importance of individualized planning in patients with complex craniofacial abnormalities.
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Bahakeem et al. (2025) studied this question.
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