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Airway Management of a Rare Case of Enormous Obstructive Macroglossia during Magnetic Imaging under Deep Sedation: A Pediatric Case Report

Anouar Jarraya, Manel Kammoun, Kamel Kolsi, Yosr Hentati, Manar Hbaieb, Manel Belhadj, Mansour

The airway management of pediatric patients with facial dysmorphia can be difficult and can be associated with high anesthesia-related morbidity. In this case report, we describe the management of a rare case of enormous macroglossia causing nasopharyngeal obstruction among a 3-year-old girl with no comorbidities scheduled for Magnetic Resonance Imaging (MRI) of the face, requiring deep sedation to maintain the child immobile during the MRI procedure. This case study demonstrates how sedation in lateral position enabled the anesthesia challenge to be won. It allowed improved anesthetic outcomes by reducing the risk of difficult airway and aspiration.