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Intubation experience in patient with bilateral cleft lip and palate

Year 2009, Volume: 15 Issue: 3, 29 - 32, 01.04.2009

Abstract

Cleft lip and palate is one of the common congenital malformations of head and neck region. Cleft lip and palate anomaly may be component of other syndromes like ectrodactily - ectodermal dysplasia (EEC) syndrome and cleft palate - cardiac defect - genital anomalies -ectrodactily acrocardiofacial (CCGE) syndrome. The diagnosis of accompanying malformations to cleft lip/palate and also syndrome complexes are increased in recent years. Difficult intubation is a desirable complication in maxillo-facial defects. For risk stratification of difficult intubation some tests are defined. Mallampati, Wilson, Cormack and Lehane tests can be used for this purpose. Our aim in this study was to discuss the difficult intubation risk and our experience of 10 years old, 30 kg of body weight girl with cleft lip and palate.

References

  • l.Tinanoff N. The Oral Cavity In: Behrman R, Kliegman RM, I Jenson HB, eds. Nelson Textbook of Pediatrics (17th Ed) Philadelphia: Saunders. 2003; 1207-1208
  • 2.Elias ER, Tsai ACT, Manchester DK. Genetic Dysmorphology. In: Hay W.W, Hay ward A.R, Levin MJ, Söridheimer J.M, Current Pediatric Diagnosis Treatment. (16th Ed) 2003;1042-43
  • 3.Morgan E, Mikhail S, Murray M. Case Discussion: Evaluation and management of a difficult airway. Clinical Anesthesiology, Fourth edition. 2006;5:lll-6
  • 4.Paix AD, Williamson JA, Runciman WB. Crisis management during anaesthesia: difficult intubation. Qual Saf Health Care. 2005; 14:5-6
  • 5.Isada T, Miwa T, Hiroki K, Fukuda S. The management of the difficult pediatric airway. Masui. 2005;54:490-5
  • 6.Naguib M, Farag H, Ibrahim Ael-W. Anaesthetic considerations in Klippel-Feil syndrome. Can Anaesth Soc 3. 1986;33:66-70
  • 7.Tüfekçioğlu S. Pediatrik hastalarda entübasyon. Klinik Pediatri. 2003;2(2):78-80
  • 8.Cattano D, Panicucci E, Paolicchi A, Forfori F, Giunta F, Hagberg C. Risk factors assessment of the diffucult airway: an Italian survey of 1956 patients. Anesth Analg. 2004;99:1774-9
  • 9.Siddiqi R, Kazi WA. Predicting difficult intubation- a comparison between Mallampati classification and Wilson risk- sum. 3 Coll Physicians Surg Pak. 2005; 15:253-6
  • lO.Marquez X, Roxas RS. Induction of anesthesia in infant with frontonasal dysplasia and meningoencephalocele: A case Report. Anesth Analg. 1977;56:736-8
  • ll.Stopar T, Jankovic VN, Casati A. Four different airway-management strategies in patient with Launois-Bensaude syndrome or Madelung's disease undergoing surgical excision of neck lipomatosis with a complicated postoperative course. 3 Clin Anesth. 2005;17:300-3
  • 12.Stauffer 3L, Olson DE, Petty TL. Complications and consequences of endotracheal intubation and tracheotomy. A prospective study of 150 critically ill adult patients. Am 3 Med. 1981;70:65-76
  • 13.Windsor 3, Middleton P. A 'difficult airway kit' for the emergency department. Emerg Med Australas. 2005;17:290-1
  • 14.Frei F3, Ummenhofer W. Difficult intubation in paediatrics. Paediatr Anaesth. 1996;6:251-63
  • 15.Li CW, Xue FS, Deng XM, Xu KL, Tong SY, Lia OX. Tracheal intubation under general anesthesia in patients with difficult laryngoscopy. Zhongguo Yi Xue Ke Xue Yuan Xue Bao. 2004;26:651-6
  • 16.Xue FS, Zhang GH, Li P, Sun HT, Li CW, Liu KP, et al. The clinical observation of difficult laryngoscopy and difficult intubation in infants with cleft lip and palate. Pediatric Anest. 2006;16:283-9
  • 17.Bozdoğan N, Şener M, Bilen A, Turkoz A, Dönmez A, Arslan G. Does left molar approach to laryngoscopy make difficult intubation easier than the conventional m id I ine approach? Eur 3 Anaesth. 2008;25:681-4
  • 18.Sen I, Kumar S, Bhardwaj N, Wig 3. A left paraglossal approach for oral intubation in children scheduled for bilateral orofacial cleft reconstruction surgery-a prospective observational study. Ped Anesth. 2009; 19:159-63

Bîlateral yarık damak-yarık dudak olgusunda entubasyon deneyimimiz

Year 2009, Volume: 15 Issue: 3, 29 - 32, 01.04.2009

Abstract

Dudak ve damak yarıkları, baş ve boyun bölgesinin sık görülen konjenital malformâsyonları arasındadır. Yarık dudak ve damak hem ektrodaktili-ektodermal displazi-yarık dudak/damak sendromu (EEC sendromu) Hem de yarık, damak-kardiak defekb-genitaP anomaliler-ektrodaktili sendromu'nun (akrokardiofasial sendrom- CCGE sendromu) bir komponentidir. Dudak ve damak yarıklarına eşlik eden malformasyonlar ve dudak-damak yarıklarının dâhil olduğu sendromlann tanınabilirliği ve oranları yıllar içinde artış göstermiştir. Maksillo-fasial defektlerde entubasyon zorluğu beklenen bir komplikasyondur. Entubasyon güçlüğü beklenen olgularda Mallampati (orofarangial görünüm), Wilson, Cormack ve Lehane testleri gibi risk belirleme kriterleri kullanılabilir. Bu1 yazımızda yarık damak-yarık dudak tanısı alan, ekstremite anomalileri olan, on yaşında, 30 kg ağırlığındaki kız çocuğunun entubasyon güçlüğü riski Ve uygulamamızı tartışmayı amaçladık.

References

  • l.Tinanoff N. The Oral Cavity In: Behrman R, Kliegman RM, I Jenson HB, eds. Nelson Textbook of Pediatrics (17th Ed) Philadelphia: Saunders. 2003; 1207-1208
  • 2.Elias ER, Tsai ACT, Manchester DK. Genetic Dysmorphology. In: Hay W.W, Hay ward A.R, Levin MJ, Söridheimer J.M, Current Pediatric Diagnosis Treatment. (16th Ed) 2003;1042-43
  • 3.Morgan E, Mikhail S, Murray M. Case Discussion: Evaluation and management of a difficult airway. Clinical Anesthesiology, Fourth edition. 2006;5:lll-6
  • 4.Paix AD, Williamson JA, Runciman WB. Crisis management during anaesthesia: difficult intubation. Qual Saf Health Care. 2005; 14:5-6
  • 5.Isada T, Miwa T, Hiroki K, Fukuda S. The management of the difficult pediatric airway. Masui. 2005;54:490-5
  • 6.Naguib M, Farag H, Ibrahim Ael-W. Anaesthetic considerations in Klippel-Feil syndrome. Can Anaesth Soc 3. 1986;33:66-70
  • 7.Tüfekçioğlu S. Pediatrik hastalarda entübasyon. Klinik Pediatri. 2003;2(2):78-80
  • 8.Cattano D, Panicucci E, Paolicchi A, Forfori F, Giunta F, Hagberg C. Risk factors assessment of the diffucult airway: an Italian survey of 1956 patients. Anesth Analg. 2004;99:1774-9
  • 9.Siddiqi R, Kazi WA. Predicting difficult intubation- a comparison between Mallampati classification and Wilson risk- sum. 3 Coll Physicians Surg Pak. 2005; 15:253-6
  • lO.Marquez X, Roxas RS. Induction of anesthesia in infant with frontonasal dysplasia and meningoencephalocele: A case Report. Anesth Analg. 1977;56:736-8
  • ll.Stopar T, Jankovic VN, Casati A. Four different airway-management strategies in patient with Launois-Bensaude syndrome or Madelung's disease undergoing surgical excision of neck lipomatosis with a complicated postoperative course. 3 Clin Anesth. 2005;17:300-3
  • 12.Stauffer 3L, Olson DE, Petty TL. Complications and consequences of endotracheal intubation and tracheotomy. A prospective study of 150 critically ill adult patients. Am 3 Med. 1981;70:65-76
  • 13.Windsor 3, Middleton P. A 'difficult airway kit' for the emergency department. Emerg Med Australas. 2005;17:290-1
  • 14.Frei F3, Ummenhofer W. Difficult intubation in paediatrics. Paediatr Anaesth. 1996;6:251-63
  • 15.Li CW, Xue FS, Deng XM, Xu KL, Tong SY, Lia OX. Tracheal intubation under general anesthesia in patients with difficult laryngoscopy. Zhongguo Yi Xue Ke Xue Yuan Xue Bao. 2004;26:651-6
  • 16.Xue FS, Zhang GH, Li P, Sun HT, Li CW, Liu KP, et al. The clinical observation of difficult laryngoscopy and difficult intubation in infants with cleft lip and palate. Pediatric Anest. 2006;16:283-9
  • 17.Bozdoğan N, Şener M, Bilen A, Turkoz A, Dönmez A, Arslan G. Does left molar approach to laryngoscopy make difficult intubation easier than the conventional m id I ine approach? Eur 3 Anaesth. 2008;25:681-4
  • 18.Sen I, Kumar S, Bhardwaj N, Wig 3. A left paraglossal approach for oral intubation in children scheduled for bilateral orofacial cleft reconstruction surgery-a prospective observational study. Ped Anesth. 2009; 19:159-63
There are 18 citations in total.

Details

Primary Language Turkish
Journal Section Articles
Authors

Senem Koruk This is me

Gülşen Özkan Tanrıverdi This is me

Rauf Gül This is me

Metin Temel This is me

Sıtkı Göksu This is me

Ünsal Öner This is me

Publication Date April 1, 2009
Published in Issue Year 2009 Volume: 15 Issue: 3

Cite

APA Koruk, S., Tanrıverdi, G. Ö., Gül, R., Temel, M., et al. (2009). Bîlateral yarık damak-yarık dudak olgusunda entubasyon deneyimimiz. Gaziantep Medical Journal, 15(3), 29-32.
AMA Koruk S, Tanrıverdi GÖ, Gül R, Temel M, Göksu S, Öner Ü. Bîlateral yarık damak-yarık dudak olgusunda entubasyon deneyimimiz. Gaziantep Medical Journal. April 2009;15(3):29-32.
Chicago Koruk, Senem, Gülşen Özkan Tanrıverdi, Rauf Gül, Metin Temel, Sıtkı Göksu, and Ünsal Öner. “Bîlateral yarık Damak-yarık Dudak Olgusunda Entubasyon Deneyimimiz”. Gaziantep Medical Journal 15, no. 3 (April 2009): 29-32.
EndNote Koruk S, Tanrıverdi GÖ, Gül R, Temel M, Göksu S, Öner Ü (April 1, 2009) Bîlateral yarık damak-yarık dudak olgusunda entubasyon deneyimimiz. Gaziantep Medical Journal 15 3 29–32.
IEEE S. Koruk, G. Ö. Tanrıverdi, R. Gül, M. Temel, S. Göksu, and Ü. Öner, “Bîlateral yarık damak-yarık dudak olgusunda entubasyon deneyimimiz”, Gaziantep Medical Journal, vol. 15, no. 3, pp. 29–32, 2009.
ISNAD Koruk, Senem et al. “Bîlateral yarık Damak-yarık Dudak Olgusunda Entubasyon Deneyimimiz”. Gaziantep Medical Journal 15/3 (April 2009), 29-32.
JAMA Koruk S, Tanrıverdi GÖ, Gül R, Temel M, Göksu S, Öner Ü. Bîlateral yarık damak-yarık dudak olgusunda entubasyon deneyimimiz. Gaziantep Medical Journal. 2009;15:29–32.
MLA Koruk, Senem et al. “Bîlateral yarık Damak-yarık Dudak Olgusunda Entubasyon Deneyimimiz”. Gaziantep Medical Journal, vol. 15, no. 3, 2009, pp. 29-32.
Vancouver Koruk S, Tanrıverdi GÖ, Gül R, Temel M, Göksu S, Öner Ü. Bîlateral yarık damak-yarık dudak olgusunda entubasyon deneyimimiz. Gaziantep Medical Journal. 2009;15(3):29-32.