Airway management: A comparative study in cleft lip and palate repair surgery in children

Sen, Jyotsna; Sen, Bitan

doi:10.4103/0259-1162.128905

Cited by 10 publications

(11 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Frequency (4.3%) of respiratory tract infections in our study was similar to that by [ 9 ], who found upper respiratory tract infections in 3.8% of the children with CL/Ps. Our result, however, was higher than that by [ 10 ] (2.7%) but lower than those by [ 29 ] (11.1%) and [ 31 ] (26%). The differences between studies may be due to under- or overestimation of respiratory infections; the diagnosis in our study was purely clinical.…”

Section: Discussioncontrasting

confidence: 90%

“…Malnutrition was the third most common medical condition, with a frequency of 7.5%, higher than that reported in other studies in developing countries: [ 9 ] reported 2.8% in Nigeria, [ 10 ] reported 3.6%, and [ 29 ] reported 3.9% in India. As stated above, children with CL/Ps have feeding difficulties, which can lead to malnutrition.…”

Section: Discussionmentioning

confidence: 62%

“…Anaemia is a common co-morbidity in developing countries: 5.7% in Nigeria [ 9 ] and 3.6–35% in India [ 10 , 29 – 31 ]. High frequency of anaemia in our study (39.4% of the total sample) reflects the endemicity of the condition in Burkina Faso; 58% of pregnant women, 50% of breastfeeding women, and 88% of children <5 years old are anaemic [ 32 ].…”

Section: Discussionmentioning

confidence: 99%

“…This high burden justify the investigation of associated malformations for a better understanding of OFCs, but the results of these investigations should lead to the implementation of specific programmes for the treatment and prevention of such deformities to counter child morbidity and mortality. The medical conditions associated with OFCs are not negligible and therefore must be identified and managed to avoid jeopardising cleft repair because of anaesthetic and/or surgical complications [ 9 , 10 ]. Congenital malformations associated with OFCs have been well described around the world [ 2 , 8 , 11 – 15 ]; however, in developing African countries, available data are scarce.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Congenital malformations and medical conditions associated with orofacial clefts in children in Burkina Faso

et al. 2017

View full text Add to dashboard Cite

BackgroundOrofacial clefts are usually isolated cases but can be associated with other congenital malformations that are either recognised or unrecognised syndromes. The reported prevalence and pattern of such associated malformations, however, vary among studies. Objectives: To assess the frequencies and aetiologies of congenital malformations and associated medical conditions in children with orofacial clefts in Burkina Faso (Western Africa).MethodsA retrospective descriptive study was carried out at the El Fateh-Suka Clinic in Ouagadougou, Burkina Faso. All children who attended surgery for the repair of a cleft lip and/or palate were included in this study.ResultsThe frequency of congenital malformations associated with cleft lip and/or palate was 39/185 (21.1%). In the group with multiple congenital malformations of unknown origin (34 patients; 18.4%), 66.7% had cleft lip and palate, followed by isolated cleft lip (27.4%) and isolated cleft palate (5.9%). The digestive system (35.3%), the musculoskeletal system (19.6%), and eye, ear, face, and neck (15.7%) were the most affected systems. In the group of syndromic malformations (five patients; 2.7%), amniotic band syndrome (one patient), Van der Woode syndrome (one patient), Goltz syndrome (one patient), and holoprosencephaly (two patients) were identified. Medical conditions included anaemia (39.4%), infections (9.2%), malnutrition (7.5%), and haemoglobinopathies (4.3%).ConclusionsCongenital malformations and medical co-morbidities were frequent in children with OFCs. Further studies and a National Malformations Registry are needed to improve the comprehension of OFCs in Burkina Faso.

show abstract

Section: Discussioncontrasting

confidence: 90%

Section: Discussionmentioning

confidence: 62%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Congenital malformations and medical conditions associated with orofacial clefts in children in Burkina Faso

et al. 2017

View full text Add to dashboard Cite

show abstract

“…Regarding the choice of endotracheal tube (TET), there is no single criterion; the use of RAE (Ring-Adair-Elwyn) U-shaped tubes is recommended for lip surgery and reinforced tubes also known as spiral-shaped spiral wire reinforcement inside and along the tube wall to reduce your occlusion during palate surgery. Other frequently reported are Oxford or "L"-shaped tubes to avoid couplings [24,25].…”

Section: Endotracheal Intubationmentioning

confidence: 99%

Anesthesia Considerations in the Perioperative of Patients with Lip and Palate Length

Peña¹,

Reyes²,

Beltran³

et al. 2020

Current Treatment of Cleft Lip and Palate

View full text Add to dashboard Cite

There is a high risk of adverse events during anesthetic management in the pediatric population mainly in children under 1 year of age and with greater vulnerability: those undergoing head and neck surgery for involving airway, specifically patients who enter surgical correction of the lip and cleft palate. This pathology can be related in a high percentage to isolated malformations without integrating a specific syndrome or be part of the more than 500 associated craniofacial syndromes such as sequence Pierre Robin, Treacher Collins, and Goldenhar, among others; it is also associated in up to 10% with some heart disease. Factors that are determinants for anesthetic management have been identified in corrective surgery of the lip and cleft palate related to the patient's characteristics such as age and weight, his medical history or associated comorbidities, and the surgical technique. As it is the pathology with the highest incidence in facial malformations that requires surgical treatment, it is necessary to know the anesthetic management alternatives and establish criteria in the different stages of the perioperative period from preanesthetic assessment to postanesthetic care, in order to provide planned approach within the highest safety standards that reduce the risk of adverse events.

show abstract

Associated medical conditions among 10-year-old children with oral clefts - a retrospective review across three cleft centres: Part 2

et al. 2023

View full text Add to dashboard Cite

Introduction In many cases, children with oral clefts present with accompanying medical conditions. These associated conditions can add complexity to the patient's dental management, both in terms of their treatment need and risk. Recognition and careful consideration of associated medical conditions is therefore crucial in providing safe and effective care for these patients.Aim This paper is the second in a two-part three-centre series. It investigates the prevalence of medical conditions affecting cleft lip and/or palate patients attending three cleft units within the UK.Method Retrospective review was undertaken within three cleft units: South Wales (SW), Cleft NET East (CNE) and West Midlands (WM). This was completed via assessment of the 10-year audit record appointment clinical notes for the year 2016/2017.Results In total, 144 cases were reviewed (SW = 42; CNE = 52; WM = 50). Of these, 38.9% of patients (n = 56) had associated medical conditions recorded.Discussion The review highlights the variety and impact of medical conditions affecting UK cleft patients providing insight into the consequent complexity of their dental care.Conclusion An awareness of cleft lip and/or palate patients' associated medical conditions is important for all health care professionals involved in their care. Indeed, understanding of the patient's medical needs by multidisciplinary cleft teams is essential for effective planning and completion of holistic care. Involvement of specialists in paediatric dentistry sharing care with general dental practitioners is vital in providing appropriate oral health care and preventive support.

show abstract

Airway management: A comparative study in cleft lip and palate repair surgery in children

Cited by 10 publications

References 11 publications

Congenital malformations and medical conditions associated with orofacial clefts in children in Burkina Faso

Congenital malformations and medical conditions associated with orofacial clefts in children in Burkina Faso

Anesthesia Considerations in the Perioperative of Patients with Lip and Palate Length

Associated medical conditions among 10-year-old children with oral clefts - a retrospective review across three cleft centres: Part 2

Contact Info

Product

Resources

About