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Updated: Sep 9, 2025

Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia
Published on: May 26, 2023
Anesthetic Management of a Patient With Parry-Romberg Syndrome: A Case Report
Reem F Bahakeem1, Feras A Alotaibi2, Abdulqader K Atiah2
1Medicine, Umm Al-Qura University, Makkah, SAU.
Abstract:
Parry-Romberg syndrome (PRS), also known as progressive hemifacial atrophy, is a rare condition characterized by unilateral degeneration of facial tissues. This case report details the anesthetic management of a 16-year-old female with PRS scheduled for elective dental surgery. The patient's facial asymmetry and restricted mouth opening posed significant challenges for airway access, necessitating a customized anesthetic plan. Despite difficulties with visualization and nasal intubation due to anatomical limitations, the airway was successfully managed using video laryngoscopy and blind nasal intubation. The procedure proceeded without complications, and the patient had an uneventful recovery. This case highlights the importance of individualized planning in patients with complex craniofacial abnormalities.
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