PMC5818726_01
Clinical photography of the patient before surgery. a) Characteristic forms of BSS are shown, including macrostomia, gingival dysplasia, and ocular telecanthus. b-c) The skin folds on the limbs were remarkable
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PMC5818726_01_40981_2016_33_Fig1_HTML.jpg
Fig1
On physical examination, the previously observed findings of macrostomia and redundant skin on the limbs were recognized (Fig. 1), but another physical abnormality was not observed, including neurologic abnormality.
Photography of manual ventilation of the patient. A mask for large adults (The Original King Mask , size 6) was suitable to cover both corners of the mouth
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PMC5818726_01_40981_2016_33_Fig2_HTML.jpg
Fig2
Because air leakage was observed from both corners of the mouth with a mask for toddlers (The Original King Mask , size 3; King Systems Corporation, Noblesville, IN, USA), it was switched to a mask for large adults (The Original King Mask , size 6; King Systems Corporation), which provided a good fit and made manual ventilation easy (Fig. 2).