Laryngoscopic view in a child with previous difficult tracheal intubation and a history of growth hormone therapy

[...]McGRATH™ MAC video laryngoscopy with ELP revealed a better laryngeal view in which a portion of the vocal fold could be seen. [...]we chose nasotracheal intubation with a nasogastric tube–guided technique using a 12-Fr nasogastric tube inserted inside the nasal Ring-Adair-Elwyn (RAE) tube (inner diameter, 5.5 mm) and Magill forceps to minimise worsening of the laryngeal view due to the spreading of epistaxis over the pharyngeal space. [4] Interestingly, a shorter cranial base length and mandibular length are also a craniofacial characteristic of both PRS and TCS,[5],[6] and the difficulty of laryngoscopy in patients with these disorders may change with age as mentioned above. [4] Taken together, our experience and these reports suggest that SGA children might be better regarded similarly to patients with PRS and TCS in terms of airway assessment irrespective of GH therapy unless catch-up growth is completed by 2 years of age.