Anesthetic experience of a pediatric patient with facial anomaly due to Cherubism: A case report

Kim, Ah na; Lee, Sangil; Kim, Kyung woo; Kim, Jun Hyeon; Kim, Ji Yeon; Kim, Kyung Tae; Park, Jang Su; Kim, Jung Won; Choe, Won Joo

Case Report

Pediatric Anesthesia

Anesthesia and Pain Medicine 2012;7(4):363-366.
Published online October 31, 2012.

Anesthetic experience of a pediatric patient with facial anomaly due to Cherubism: A case report

Ah na Kim, Sangil Lee, Kyung woo Kim, Jun Hyeon Kim, Ji Yeon Kim, Kyung Tae Kim, Jang Su Park, Jung Won Kim, Won Joo Choe

Department of Anesthesiology and Pain Medicine, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea. knighder@hanmail.net

Abstract

We report the perioperative airway management in a 7-year-old boy suffering from Cherubism who was scheduled for endoscopic sinus surgery under general anesthesia. Cherubism is a rare, hereditary disorder of the jaws characterized by expansion of the maxilla and mandible. A difficult airway was encountered during induction of general anesthesia, nasal and oral mask pitting ventilation was hard for first attempts due to facial bony abnormality. At second attempt, we tried only oral mask pitting ventilation and it was successful.

Key Words: Airway management, Cherubism, Facial anomaly