Definition Patients with Down’s syndrome may have an airway complicated by both macroglossia, tonsillar/adenoidal hypertrophy, micrognathia, and a short neck. They may also have obstructive sleep apnea and lax cervical ligaments as well as other cervical abnormalities (ex. odontoid) leading to cervical instability (atlantooccipital instability in 9%). Children and adults may need down-sized endotracheal tubes. […]