Prone Ventilation and Tongue Suspension for Airway Management in Severe Pierre Robin Sequence

Document Type

Conference Proceeding

Publication Date

10-17-2026

Abstract

An 8-day-old full-term female with severe Pierre Robin Sequence and airway obstruction presented for mandibular distractor placement. She required prone positioning and high-flow nasal cannula preoperatively to maintain oxygenation. After inhalational induction with preserved spontaneous ventilation, mask ventilation in the supine position was unsuccessful due to airway collapse. Video laryngoscopy with Miller 0 and 1 blades failed because the tongue completely obstructed the glottic view. The patient was intermittently returned to the prone position for ventilation. A surgical tongue traction suture was then placed, allowing anterior displacement of the tongue and successful intubation using a hyperangulated video laryngoscope

Comments

American Society of Anesthesiologists, The Anesthesiology Meeting, October 16-20, 2026, San Diego, CA

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