Anaesthetic Considerations in A Case of Parry Romberg Syndrome with Hemi Facial Atrophy Posted for Facial Remodeling Surgery

Abstract

Managing anesthesia in patients with Parry Romberg syndrome is challenging due to limited mouth opening, requiring careful planning and a deep understanding of the condition's pathophysiology. This report discusses anesthetic management for a 33-year-old female diagnosed as Parry Romberg Syndrome with hemi facial atrophy posted for surgical remodeling of face with ALT flap. This case report highlights the necessity for a tailored anesthetic plan With the posibility to perform awake fiber-optic intubation due to patient age and cooperation level, a combination of general anesthesia with preserved spontaneous respiration was implemented. The report details the use of fiberoptic bronchoscopy for intubation, the intraoperative pharmacological strategy involving sevoflurane and propofol, and the postoperative care that resulted in improved mouth opening. The case underscores the importance of multidisciplinary collaboration and advances in surgical and anesthetic techniques for managing complex airways . The outcomes contribute to the literature on anesthetic approaches in such intricate scenarios, suggesting that with appropriate techniques, successful management is possible.