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The McCune-Albright syndrome is rare disease diagnosedby the clinical triad, fibrous dysplasia, café-au lait skin pigmentations andendocrine hyperfunction. Those patients with bone issues could have various surgeriesunder general anesthesia. Airway abnormality and various endocrineabnormalities should be considered during general anesthesia for McCune-Albrightsyndrome patients. A 15-year-old male with McCune-Albright syndrome wasadmitted with complaint of right nasal obstruction originated from fibrous dysplasia.Endoscopic resection of nasal cavity lesion was scheduled under navigationsystem guidance. Difficult airway could be anticipated due to protrusion ofmaxilla and right nostril. Awake fiberoptic intubation was performed by spray-as-you-gotechnique. When an anesthesiologist expects to take care of the patientwith the McCune-Albright syndrome, the most appropriate anesthetic inductionand tracheal intubation technique should be selected, and multiple backup instrumentssuch as supraglottic device, video laryngoscope and fiberoptic bronchoscopyshould be prepared.

KEYWORDS

Difficult Intubation, Fibrous Dysplasia, McCune-Albright Syndrome

Cite this paper

Kang, S. and Jeong, J. 2016 Anesthetic Consideration of a Patient with McCune-Albright Syndrome: A Case Report. Open Journal of Anesthesiology, 6, 187-192. doi: 10.4236-ojanes.2016.611028.





Autor: Se Hee Kang, Ji Seon Jeong*

Fuente: http://www.scirp.org/



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