• Paediatric anaesthesia · Jun 2006

    Case Reports

    Anesthesia in a child with fibrodysplasia ossificans progressiva.

    • Rita Vashisht and Dylan Prosser.
    • Anaesthetic Department, Royal Manchester Children's Hospital, Pendlebury, Manchester, UK. VAshokKum@aol.com
    • Paediatr Anaesth. 2006 Jun 1;16(6):684-8.

    AbstractWe describe the anesthesia management of a 12-year-old girl, diagnosed with fibrodysplasia ossificans progressiva (FOP), who presented with a submandibular abscess. FOP is a rare, inherited disorder with heterotopic bone formation and progressive musculoskeletal disability. This disability ultimately confines patients to a wheelchair. Minor trauma following dental treatment may lead to ankylosis of the jaw. Subsequent to this disability, which resulted in poor dental hygiene, our patient developed a dental abscess. This spread along the mandibular margin and under the tongue. She presented with an impending airway compromise in an already difficult situation. The options for airway management in a child with limited mouth opening are discussed.

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