anesthetic management of achondroplastic dwarf with difficult airway for cadaveric renal transplantation: a case report

Achondroplasia is a congenital autosomal dominant disease which has fibroblast growth factor receptor -3 mutation (fgfr-3). anesthetic management of achondroplastic patients warrants special anatomical and physiological considerations because of important variations in the airway as well as the spine in regional techniques. in our case, 37-years-old male dwarf with achondroplasia has end stage renal disease (esrd) and received cadaveric renal transplantation (rt). preoperative assessment revealed the mallampati score iv airway with a cervical instability, thoracolumbar kyphoscoliosis and spinal deformities. we aim to highlight anesthetic management of achondroplastic dwarf with difficult airway during operation.