# Intubation in a Case of Ectodermal Dysplasia During Surgery: A Case Report

**Authors:** Sindhu Geetha, Neeta Verma, Amol Singam

PMC · DOI: 10.7759/cureus.51504 · 2024-01-02

## TL;DR

This case report describes a complex surgical and intubation challenge in a patient with ectodermal dysplasia, highlighting innovative airway management and multidisciplinary care.

## Contribution

The paper introduces an innovative trans mylohyoid/submental intubation technique for managing airway challenges in ectodermal dysplasia.

## Key findings

- Trans mylohyoid/submental intubation successfully managed airway challenges in a patient with absent nasal bone and craniofacial anomalies.
- Multidisciplinary collaboration was essential for individualized care and successful surgical outcomes.
- The case emphasizes the need for innovative techniques in managing ectodermal dysplasia patients during surgery.

## Abstract

Ectodermal dysplasia, a heterogeneous group of rare genetic disorders, is characterized by the aberrant development of ectodermal structures, leading to various clinical anomalies. This case report presents a unique and challenging case of a 33-year-old male with ectodermal dysplasia who underwent Le Fort III advancement and implant rehabilitation surgery to address severe craniofacial and dental deficiencies. This case, characterized by facial dysmorphism, craniofacial anomalies, and the absence of a nasal bone, highlights the complexity of surgical planning required to address these diverse clinical features. The crucial element of this report is the innovative approach to airway management through trans mylohyoid/submental intubation, which successfully navigated the patient's aberrant anatomy. Multidisciplinary collaboration played a pivotal role in achieving a holistic and patient-centered approach. By sharing this case, we aim to provide insights into the nuances of managing complex patients with ectodermal dysplasia, emphasizing the importance of individualized care, innovative techniques, and interdisciplinary teamwork to optimize patient outcomes and contribute to advancing medical knowledge.

## Linked entities

- **Diseases:** ectodermal dysplasia (MONDO:0009773)

## Full-text entities

- **Diseases:** depressed nasal bridge (MESH:D054084), Ectodermal Dysplasia (MESH:D004476), congenital anomalies of the hair, teeth (MESH:D014071), craniofacial and dental deficiencies (MESH:D019465), developmental abnormalities of ectodermal structures (MESH:D020914), craniofacial dysmorphism (MESH:C537512), muscle relaxation (MESH:D019042), genetic disorder (MESH:D030342), ossicular congenital aplasia (MESH:D057130), facial anomalies (MESH:C557821), absence of a (MESH:D004832), anomalies of ectodermal structures (MESH:C536503), edentulous jaw (MESH:D007575), Neck (MESH:D006258), blood loss (MESH:D016063), absent nasal bones (MESH:C562753), obstruction (MESH:D000402), facial asymmetry (MESH:D005146), facial dysmorphism (MESH:C565579), midfacial hypoplasia (MESH:C537559), facial and oropharyngeal anomalies (MESH:D009959), bone (MESH:D001847), Le Fort III (MESH:C535314), nasal deformity (MESH:D009668), mandibular prognathism (MESH:D008313), obesity (MESH:D009765)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Figures

2 figures with captions in the complete paper: https://tomesphere.com/paper/PMC10831207/full.md

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Source: https://tomesphere.com/paper/PMC10831207