Case Report
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Airway Management for Cleft Palate Repair Surgery in an Pediatric Patient with Pierre Robin Syndrome: A Case Report

Year 2021, , 315 - 318, 12.07.2021
https://doi.org/10.53394/akd.964064

Abstract

The children with Pierre Robin Sequence (PRS) have anatomical and physiological challenges of airway
management. The children with PRS have difficult airway caused by micrognathia, glossoptosis, and
cleft palate. The patients’ airway management who have PRS is dificult and requires attention. Here
we present a 5-year-old girl with PRS, admitted to our hospital for cleft palate repair surgery. She also
had a history of traсheostomy. Otholaryngologists had to perform trachestomy for this operation. The
patient had an uneventful operative and postoperative period. We wanted to discuss the difficulties of
airway management of the children with PRS with this case report. Anaesthesiologists must be ready
for the challenges and otholaryngologists, must also be ready to manage these difficult airways. In
addition, bronchospasm and airway obstruction after extubation are very common complications, so
careful postoperative monitoring should be performed.

References

  • 1. Diego P. Airway pathologies requiring specialized pediatric anesthesia. In: Anesthetic Management for the Pediatric Airway. Springer Nature Switzerland. Ebook. 2019
  • 2. Asai T, Nagata A, Shingu K. Awake tracheal intubation through the laryngeal mask in neonates with upper airway obstruction. Paediatr Anaesth 2008;18(1):77–80.
  • 3. Marston AP. Airway management for intubation in newborns with Pierre Robin sequence. Laryngoskope 2012;122(6):1401-4.
  • 4. Meyer AC, Lidsky ME, Sampson DE. Airway interventions in children with Pierre Robin sequence. Otolaryngol Head Neck Surg 2008;138(6):782-7.
  • 5. Onal O, Demirci A, Bayrak O. Caudal anesthesia for open bladder surgery in high-risk adolescent with scoliosis and neural tube defect. Anesth Pain Med 2015;5(4):e33480.
  • 6. Imani F, Entezary SR, Alebouyeh MR, Parhizgar S. The maternal and neonatal effects of adding tramadol to 2% lidocaine in epidural anesthesia for cesarean section. Anesth Pain Med 2011;1(1):25–9.
  • 7. Ozkan O. Our experience with regional anesthesia in a case of Pierre Robin syndrome. Anesth Pain Med 2016; 6(1) :e33480.
  • 8. Takashi A, Atsushi N, Koh S. Awake tracheal intubation through the laryngeal mask in neonates with upper airway obstruction. Paediatr Anaesth 2008;18(1):77-80.

Pierre Robin Sendromlu Pediatrik Bir Hastada Yarık Damak Onarımı Cerrahisi İçin Havayolu Yönetimi: Bir Olgu Sunumu

Year 2021, , 315 - 318, 12.07.2021
https://doi.org/10.53394/akd.964064

Abstract

Pierre Robin Sendromlu (PRS) çocukların hava yolu yönetiminde anatomik ve fizyolojik zorluklar
vardır. PRS’lu çocuklarda, zor havayoluna sebep olan, mikrognati, glossopitozis vardır. PRS’lu
hastalarda havayolu yönetimi zordur ve dikkat gerektirir. Burada PRS’lu 5 yaşında bir kız çocuğu,
yarık damak onarımı için hastanemize başvuran bir hastayı sunuyoruz. Ayrıca hastanın trakeostomi
öyküsü de vardı. Bu operasyon için, kulak-burun-boğaz uzmanlarının trakeostomi açması gerekti.
Hastanın operasyon ve operasyon sonrası dönemi sorunsuz geçti. Bu olgu sunumu ile PRS’lu
hastaların havayolu zorluklarını gözden geçirmek istedik. Anestezistler, zorluklar için hazır olmalıdır
ve kulak burun boğaz uzmanları da bu zorlukların üstesinden gelinmesi için hazır bulunmalıdırlar. Ek
olarak, bronkospazm ve havayolu tıkanıklıkları ekstübasyon sonrası sık görülen komplikasyonlardır, bu
nedenle dikkatli postoperatif monitörizasyon uygulanmalıdır.

References

  • 1. Diego P. Airway pathologies requiring specialized pediatric anesthesia. In: Anesthetic Management for the Pediatric Airway. Springer Nature Switzerland. Ebook. 2019
  • 2. Asai T, Nagata A, Shingu K. Awake tracheal intubation through the laryngeal mask in neonates with upper airway obstruction. Paediatr Anaesth 2008;18(1):77–80.
  • 3. Marston AP. Airway management for intubation in newborns with Pierre Robin sequence. Laryngoskope 2012;122(6):1401-4.
  • 4. Meyer AC, Lidsky ME, Sampson DE. Airway interventions in children with Pierre Robin sequence. Otolaryngol Head Neck Surg 2008;138(6):782-7.
  • 5. Onal O, Demirci A, Bayrak O. Caudal anesthesia for open bladder surgery in high-risk adolescent with scoliosis and neural tube defect. Anesth Pain Med 2015;5(4):e33480.
  • 6. Imani F, Entezary SR, Alebouyeh MR, Parhizgar S. The maternal and neonatal effects of adding tramadol to 2% lidocaine in epidural anesthesia for cesarean section. Anesth Pain Med 2011;1(1):25–9.
  • 7. Ozkan O. Our experience with regional anesthesia in a case of Pierre Robin syndrome. Anesth Pain Med 2016; 6(1) :e33480.
  • 8. Takashi A, Atsushi N, Koh S. Awake tracheal intubation through the laryngeal mask in neonates with upper airway obstruction. Paediatr Anaesth 2008;18(1):77-80.
There are 8 citations in total.

Details

Primary Language English
Subjects Clinical Sciences
Journal Section Case Report
Authors

Leyla Şamil Aydın 0000-0002-5162-4628

Yesim Cetintas This is me 0000-0002-1742-9204

Zekiye Bigat 0000-0002-2191-4595

Publication Date July 12, 2021
Submission Date July 13, 2020
Published in Issue Year 2021

Cite

APA Şamil Aydın, L., Cetintas, Y., & Bigat, Z. (2021). Airway Management for Cleft Palate Repair Surgery in an Pediatric Patient with Pierre Robin Syndrome: A Case Report. Akdeniz Tıp Dergisi, 7(2), 315-318. https://doi.org/10.53394/akd.964064