A 2-yr-old patient with Pierre Robin Sequence and Ullrich congenital muscular dystrophy presented for excision of multiple maxillary and mandibular eruption cysts (image A).

Eruption cysts are dome-shaped benign lesions overlying the alveolar mucosa of an erupting tooth. Although most eruption cysts resolve without intervention, surgical intervention may be required for those that are painful, infected, or bleeding. Preoperative computed tomography imaging (images B and C) confirmed the presence of teeth within cystic structures, micrognathia, glossoptosis, cervical spine anomalies, and patency of the nasopharyngeal airway.

Several techniques have been described in managing the anticipated difficult pediatric airway.2,3 Awake intubation techniques in young children are challenging because of limited cooperation. General anesthesia or sedation with maintenance of spontaneous ventilation during airway instrumentation is a practical management option. The flexible fiberoptic bronchoscope can be useful...

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