Abstract
A 5-year-old girl with severe burns (51% of the body) had been tracheally intubated 4 times without any difficulty during the first 6 weeks. Thereafter, she was scheduled for 3 skin-grafting surgeries within 2-6 months. Physical examination revealed an obvious limitation in mouth opening and a deformity of the neck, which became progressively worse. The anesthetic plan was to attempt intubation using a Macintosh type video-laryngoscope. Tracheal intubation was successfully performed with the assistance of the anesthesia-supervisor, who was watching the TV picture of a wide-angle laryngeal view. We have always preserved all the video records of laryngeal view during tracheal intubation whenever the video-laryngoscope is indicated. We were able to confirm the anatomical abnormality by observing her former records.
