J Dent Anesth Pain Med.  2017 Jun;17(2):139-141. 10.17245/jdapm.2017.17.2.139.

Anesthetic management of a patient with chromosome 6p duplication: a case report

• Morinaga S
• Tsukamoto
• Yokoyama T

• KMID: 2384476
• DOI: http://doi.org/10.17245/jdapm.2017.17.2.139

Abstract

Chromosome 6p duplication is very rare and clinically characterized by short stature, mental retardation, and congenital heart diseases. Patients with mental retardation may present with poor oral health conditions. Dental treatment may need to be performed under general anesthesia in such patients. Our case report deals with induction of general anesthesia to a patient with chromosome 6p duplication, for dental treatment. The selection of a nasotracheal tube of an appropriate size, because of the patient's short stature, was especially important for airway management. In the present case, the patient with chromosome 6p duplication was intubated with a nasotracheal tube, which was not age-matched but adapted to the height and physique of the patient.

Keyword

Chromosome 6p; Dental Care; General Anesthesia; Tube Size

MeSH Terms

Airway Management
Anesthesia, General
Dental Care
Heart Diseases
Humans
Intellectual Disability
Oral Health

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