We report the anaesthetic management of a nine-year-old, 6.8 kg, 75 cm
tall female with the Kenny-Caffey syndrome presenting for strabismus
surgery. Dysmorphic features in our patient included a hypoplastic man
dible. A neonatal (size 1) laryngeal mask was successfully used for ma
nagement of the airway whilst providing surgical access. The general f
eatures of this rare syndrome are presented and the literature reviewe
d.