Airway management can be challenge for a patient with Marshall-Smith syndrome.

Potential problems in upper airway management:

(1) micrognathia

(2) gum hypertrophy

(3) upper airway obstruction

(4) laryngomalacia

(5) choanal stenosis

(6) abnormal laryngeal development

(7) underdeveloped epiglottis

(8) pharyngeal dysmotility

(9) obstructive sleep apnea


Other factors that need to considered:

(1) cervical cord compression

(2) congenital cardiac abnormalities

(3) scoliosis

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