Tehran University of Medical Sciences Archives of Anesthesiology and Critical Care 2423-5849 4 4 2018 09 11 187 187 EN Ebrahim Espahbodi Department of Anesthesiology and Critical Care, Bahrami Children Hospital, Tehran University of Medical Sciences, Tehran, Iran. Anahid Maleki Department of Anesthesiology and Critical Care, Medical Center of Children Hospital, Tehran University of Medical Sciences, Tehran, Iran. Abbas Ostad Alipour Department of Anesthesiology and Critical Care, Bahrami Children Hospital, Tehran University of Medical Sciences, Tehran, Iran. Parastoo Aryana Department of Anesthesiology and Critical Care, Medical Center of Children Hospital, Tehran University of Medical Sciences, Tehran, Iran. Alireza Takzare Department of Anesthesiology and Critical Care, Medical Center of Children Hospital, Tehran University of Medical Sciences, Tehran, Iran. Amir Yaghooti Department of Anesthesiology and Critical Care, Bahrami Children Hospital, Tehran University of Medical Sciences, Tehran, Iran. Mehdi Sanatkarfar Department of Anesthesiology and Critical Care, Farabi Hospital, Tehran University of Medical Sciences, Tehran, Iran. 2018 05 14 2018 06 30 Apert syndrome is a premature fusion of certain skull bones. This early fusion prevents the skull growing normally and affects the shape of the head and face. In addition a varied number of fingers and toes are adhered together. Considering the probability of difficult airway is very important in these patients. Our patient was referred to operating room for syndactyly separation in his lower extremities fingers. https://aacc.tums.ac.ir/index.php/aacc/article/view/187 https://aacc.tums.ac.ir/index.php/aacc/article/download/187/348