Abstract
Goldenhar syndrome is a rare disorder characterized by a wide range of congenital malformations that may cause difficulty in tracheal intubation and mask ventilation. We describe a case of a male infant with Goldenhar syndrome successfully treated with general anesthesia with laryngeal airway mask and peripheral nerve block for club foot disease surgery.
Highlights
Goldenhar syndrome was first described by Dr MauriceGoldenhar in 1952
In cases with difficulty in airway management, regional anesthesia is generally used in combination with general anesthesia to reduce the anesthetic depth and the risks associated with deeper anesthetic planes, lower airway instrumentation such as laryngoscopy, as well as the need for respiratory assistance, muscle relaxants and opioids [3,4,5]
Regional anesthesia provides other advantages like smoother and more comfortable emergence and faster wake-up times which represent a challenge in syndromic patients with potential difficult airway management [6]
Summary
Due to the airway and facial anomalies, tracheal intubation and mask ventilation may be difficult [2]. Regional anesthesia provides other advantages like smoother and more comfortable emergence and faster wake-up times which represent a challenge in syndromic patients with potential difficult airway management [6]. We describe a case of Goldenhar syndrome undergoing orthopedics surgery treated with sciatic nerve block through lateral approach at our institution. The child had cerebral ventricular dilatation, thyroid hypofunction, kidney and urinary tract malformations. He was previously operated for hypertrophic pyloric stenosis and interventricular sept defect. There was information about difficulty in tracheal intubation but not in mask ventilation in both operations. We decided to perform sciatic nerve block through lateral approach under general anesthesia with laryngeal mask airway (LMA)
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