[Anesthetic management of a child with Klippel-Feil syndrome associated with severe scoliosis].

We experienced an anesthetic management of a female child with Klippel-Feil syndrome complicated with severe scoliosis. This patient showed airway problems in anesthetic management because of limited neck movement due to fused cervical supine and winding airway due to scoliosis. A laryngeal mask (LM) was useful for ventilation but we fitted LM carefully because of her orolaryngeal anomaly. Intubation was very difficult through LM because the axis of LM was not on the laryngeal axis and the tip of the tracheal tube caught the epiglottis and arytenoid cartilage.