Airway management in a patient with division of tongue flap

Rao, Shilpa; Patel, Ruchit

doi:10.1111/j.1460-9592.2008.02690.x

Pediatric Anesthesia

2008

DOI: 10.1111/j.1460-9592.2008.02690.x

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Airway management in a patient with division of tongue flap

Shilpa Rao¹,

Ruchit Patel²

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Cited by 5 publications

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“…To our knowledge, ours is probably the first case intubated using the left‐sided paraglossal approach for a pedunculated mass protruding from the oral cavity. Similar approach was also successful in the children who undergo division of midline or right tongue flap (6). We would like to recommend the use of left paraglossal laryngoscopy as a technique for intubation in infants with oral congenital teratoma.…”

mentioning

confidence: 95%

Airway management in a neonate with oral teratoma

Liu¹,

Sun²,

Jiang³

et al. 2010

Pediatric Anesthesia

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mentioning

confidence: 95%

Airway management in a neonate with oral teratoma

Liu¹,

Sun²,

Jiang³

et al. 2010

Pediatric Anesthesia

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“…S ir —We read with interest the recent letter of Rao and Patel (1) regarding airway management in children with division of tongue flap, in which a left molar approach was used for laryngoscopy and a left‐sided intubation was performed. They provide a favorable method for airway management in children undergoing division of tongue flap, but several shortcomings of the left molar approach must be realized.…”

mentioning

confidence: 99%

Airway management in children with division of tongue flap

Xue

Luo

Liao

2009

Pediatric Anesthesia

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surfactant, umbilical arterial and venous lines were placed. The venous gas blood analysis revealed pH = 7.1, PCO 2 = 58 mmHg, PO 2 = 27 mmHg, and HCO 3 = 17 mEqAEl )1 . No additional anomalies were identified. The mass was excised and the tongue was closed without significant deformity. Histological examination revealed a teratoma. But the baby died shortly after the operation. Autopsy examination has not been done. We suggest there might be a hypoxic brain damage or intraventricular hemorraghe and in the overall clinical context, the reason of mortality could be perinatal asphyxia, major congenital malformation and immaturity.Masses in the oral cavity necessitate critical and prompt management of the upper airway obstruction in the delivery room. As most cases are not amenable to endotracheal intubation, establishment of the airway at delivery and preserving thereafter often achieved by bronchoscope guided intubation or tracheotomy (2).Prenatal diagnosis and emergent airway establishment, multidisciplinary team management and coordinated care are essential. Ideally the baby should be delivered via elective cesarian section and until the airway was secured oxygenation should be maintained by placental circulation (3). As in our case attempted oral or nasal endotracheal intubation could be life saving when an unplanned emergent delivery of a very tiny baby occurred.B eg u m At as a y* Saad et Arsan* Emel Okulu* I lk e M u n g an Akin* Aydi n Yagmurlu † T o m r i s T u rm en*

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“…S ir —We congratulate Rao and Patel for their excellent description of the management of the anesthetic for the division of a patient with a tongue flap in situ for division (1). Their detailing of the technique and discussion of the advantages of the left molar approach for difficult laryngoscopy are commendable.…”

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confidence: 99%

Left molar intubation for tongue flap division

Eipe¹

2009

Pediatric Anesthesia

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References1 Farooqi IS, Yeo GS, Keogh JM et al. Dominant and recessive inheritance of morbid obesity associated with melanocortin 4 receptor deficiency. J Clin Invest 2000; 106: 271-279. 2 Smith HL, Meldrum DJ, Brennan LJ. Childhood obesity: a challenge for the anaesthetist? Paediatr Anaesth 2002; 12: 750-761. 3 Higuchi H, Satoh T, Arimura S et al. Serum inorganic fluoride levels in mildly obese patients during and after sevoflurane anesthesia.

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Airway management in a patient with division of tongue flap

Cited by 5 publications

References 5 publications

Airway management in a neonate with oral teratoma

Airway management in a neonate with oral teratoma

Airway management in children with division of tongue flap

Left molar intubation for tongue flap division

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