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Perioperative Management of a Patient with Chin-On-Chest Deformity Presenting for Reconstructive Spine Surgery
Ankur Khandelwal1, Suman Sokhal1, Surya Kumar Dube1
1Department of Neuroanaesthesiology and Critical Care, 710, Neurosciences Centre, All India Institute of Medical Sciences, New Delhi, India.
Abstract:
Chin-on- chest deformity is not uncommon sequelae of ankylosing spondylitis. Apart from difficult airway, several other considerations might include co-existing cardio-respiratory embarrassment, osteoporotic bones, and neurological perturbations. We describe the successful anesthetic management of a case of chin-on-chest deformity with no access to midline neck structures and extremely difficult airway posted for corrective spine surgery.
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