Zor Hava Yoluna Neden Olabilen Pediyatrik Sendromlar

Öz

Amaç: Pediyatrik yaş grubunda zor hava yoluna sebep olabilecek sendromlar çok daha fazla görülebilmektedir. Bu sendromlara bağlı gerek hava yolu ile ilgili gerekse diğer organ ve sistemlerle ilgili cerrahi geçirmeleri veya hava yolunun açılmasına yönelik girişimler endike olabilmektedir. Bu derlemede pediyatrik sendromların neden zor hava yoluna neden olabilecekleri sunulmaya çalışılmıştır. Materyal ve Metot: Bu derlemede olgu sunumları, derlemeler ve kitaplarda bulunan literatür bilgileri bir araya getirilmiştir. Bulgular: Özellikle maksillofasiyal anomaliler ve deposit sendromlara bağlı anatomik bozukluklar zor hava yoluna neden olabilmektedir. Ayrıca bu çocukların büyümesi ile birlikte anatomic anomaliler daha da artmakta ve böylece tekrarlayan cerrahiler geçirmek zorunda kalmaktadırlar. Cerrahi öncesi iyi bir fizik muayene ve görüntüleme yöntemlerinin kullanılması zor hava yolunun öngörülebilmesini sağlayabilir. Sonuç: Sendromik çocuklardaki anatomic değişiklikler ve geçirilmiş cerrahiler zor hava yolu riskini artırmaktadır. Bu çocukların preoperative değerlendirmesinin multidispliner olması ve görüntüleme yöntemlerinin kullanılması ile birlikte hava yolu yönetimi daha kolay hale getirilebilir.

Anahtar Kelimeler

• pediyatrik sendromlar
• zor hava yolu
• zor entübasyon
• maksillofasiyal anomaliler

Kaynakça

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