{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T01:28:34Z","timestamp":1777426114276,"version":"3.51.4"},"reference-count":10,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[1983,7,1]],"date-time":"1983-07-01T00:00:00Z","timestamp":425865600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Ann Otol Rhinol Laryngol"],"published-print":{"date-parts":[[1983,7]]},"abstract":"<jats:p>The child with mandibular hypoplasia (Treacher Collins syndrome, Pierre Robin sequence, hemifacial microsomia, etc) presents the otolaryngologist and anesthesiologist with considerable problems when direct laryngoscopy and\/or endotracheal intubation is attempted. In addition to the small mandible, several other features of these patients contribute to the difficult laryngoscopy: macroglossia, glossoptosis, trismus related to temporomandibular joint abnormalities, and prominent maxilla or maxillary incisors. Most of the techniques that have been described for laryngoscopy\/intubation in problem cases are difficult or impossible to use in infants and young children with mandibular hypoplasia. We present a modification of the standard direct laryngoscopic procedure, utilizing the 9-cm anterior commissure laryngoscope and an optical stylet in the task of exposing and intubating the larynx of a child with mandibular hypoplasia.<\/jats:p>","DOI":"10.1177\/000348948309200423","type":"journal-article","created":{"date-parts":[[2014,10,3]],"date-time":"2014-10-03T14:35:41Z","timestamp":1412346941000},"page":"401-404","source":"Crossref","is-referenced-by-count":25,"title":["Difficult Laryngoscopy\/Intubation: The Child with Mandibular Hypoplasia"],"prefix":"10.1177","volume":"92","author":[{"given":"Steven D.","family":"Handler","sequence":"first","affiliation":[{"name":"Philadelphia, Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas P.","family":"Keon","sequence":"additional","affiliation":[{"name":"Philadelphia, Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[1983,7,1]]},"reference":[{"key":"bibr1-000348948309200423","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2044.1963.tb13557.x"},{"key":"bibr2-000348948309200423","first-page":"22","volume":"7","author":"Donlon JV","year":"1980","journal-title":"Anesth Rev"},{"key":"bibr3-000348948309200423","first-page":"16","volume":"16","author":"Handler SD","year":"1979","journal-title":"Cleft Palate J"},{"key":"bibr4-000348948309200423","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-198105000-00019"},{"key":"bibr5-000348948309200423","volume-title":"Anesthesia for infants and children","author":"Smith RM","year":"1980","edition":"4"},{"key":"bibr6-000348948309200423","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM197610142951607"},{"key":"bibr7-000348948309200423","first-page":"333","volume":"39","author":"Butler FS","year":"1960","journal-title":"Anesth Analg (Cleve)"},{"key":"bibr8-000348948309200423","doi-asserted-by":"publisher","DOI":"10.1097\/00000542-198111000-00015"},{"key":"bibr9-000348948309200423","doi-asserted-by":"publisher","DOI":"10.1016\/S0030-6665(20)32247-7"},{"key":"bibr10-000348948309200423","doi-asserted-by":"crossref","first-page":"251","DOI":"10.1097\/00000542-197909000-00014","volume":"51","author":"Katz RL","year":"1979","journal-title":"Anesthesiology"}],"container-title":["Annals of Otology, Rhinology &amp; Laryngology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/000348948309200423","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/000348948309200423","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T11:30:40Z","timestamp":1777375840000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/000348948309200423"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1983,7]]},"references-count":10,"journal-issue":{"issue":"4","published-print":{"date-parts":[[1983,7]]}},"alternative-id":["10.1177\/000348948309200423"],"URL":"https:\/\/doi.org\/10.1177\/000348948309200423","relation":{},"ISSN":["0003-4894","1943-572X"],"issn-type":[{"value":"0003-4894","type":"print"},{"value":"1943-572X","type":"electronic"}],"subject":[],"published":{"date-parts":[[1983,7]]}}}