Freeman-Sheldon (whistling face) syndrome. Anaesthetic and airway management

Paediatr Anaesth. 1997;7(4):345-8. doi: 10.1046/j.1460-9592.1997.d01-90.x.


We describe the anaesthetic management of Freeman-Sheldon syndrome in a two-and-a-half year old undergoing club foot correction. Following an inhalational induction using halothane, tracheal intubation by direct laryngoscopy proved impossible. A laryngeal mask airway was inserted and intubation with a 4.5 tracheal tube was successfully achieved using a fibreoptic bronchoscope passed through the LMA. The child had an uneventful anaesthetic course. A caudal epidural was used for postoperative analgesia and the child was discharged home on day two. The anaesthetic and airway management options of this syndrome are outlined.

Publication types

  • Case Reports

MeSH terms

  • Analgesia, Epidural
  • Anesthesia, Inhalation*
  • Anesthetics, Inhalation / administration & dosage
  • Bronchoscopes
  • Child, Preschool
  • Clubfoot / pathology
  • Clubfoot / surgery*
  • Craniofacial Abnormalities / pathology
  • Craniofacial Abnormalities / physiopathology*
  • Equipment Design
  • Fingers / abnormalities
  • Fingers / pathology
  • Halothane / administration & dosage
  • Humans
  • Intubation, Intratracheal / instrumentation
  • Laryngeal Masks*
  • Laryngoscopy
  • Male
  • Pain, Postoperative / prevention & control
  • Patient Discharge
  • Syndrome


  • Anesthetics, Inhalation
  • Halothane