[A Case of Aglossia for which the Airway Could Not be Managed with a Laryngoscope].

Abstract

We encountered a case of congenital aglossia accom- panied by upper airway obstruction and faucal con- striction, for which mask ventilation was straightfor- ward and nasal intubation under bronchofiberscopic guidance was effective. The faucal constriction was easily alleviated under anesthesia, facilitating the pas- sage of a laryngoscope blade. The absence of the tongue base, a target site for laryngoscope manipulation, prevented visualization of the glottis. Airway Scope® AWS-SIOOL (Nihon Kohden Corporation, Tokyo) equipped with PBLADE® (ITL-NL-NEO- NATE) for newborns facilitated detection of the glottis, suggesting its usefulness as an intubator.