Anaesthesia for airway obstruction in laryngo-onycho-cutaneous syndrome

A 4-year-old boy with laryngo-onycho-cutaneous syndrome underwent excision of an obstructive vocal cord lesion. There is only one previous case report of laryngeal involvement in this syndrome but the anaesthetic management has not been reported. The anaesthetic management for microlaryngobronchoscopy and laser surgery in this child with upper airway obstruction is described.