Airway Management of an Infant Presenting with Syngnathia for Surgical Correction

Abstract

<p class="MsoNormal" style="text-align:justify;"> <span lang="EN-GB">Syngnathia, congenital fusion of the mandible and maxilla, is a rare anomaly. We describe fiberoptic intubation of the trachea whilst controlling the airway with a nasal tube. A simple modification of this technique, previously described in the management of the difficult pediatric airway [1], simplifies the procedure with less potential for complications.</span><span lang="EN-US"><o:p></o:p></span> </p

Fiber optic intubation of a neonate with Syngnathia under local anesthesia and sedation

“…used general anesthesia with sevoflurane to successfully perform nasal fiber optic intubation. [ 5 ] Having successfully performed oral intubation under local anesthesia and sedation in an infant with an oral mass we decided to use a similar technique. [ 6 ]…”

Rare Occurrence of Two Cases of Congenital Syngnathia at Osmania General Hospital, Hyderabad, India: A Case Report

“…Airway is the first priority to be secured in the management, thereafter feeds should be cared for by nasogastric. Fiber optic nasotracheal intubation under spontaneous ventilation using low doses of ketamine offers a safe and non-invasive technique compared with tracheostomy or blind nasotracheal intubation [8]. Surgical division of bony fusion under general anesthesia is the optimal treatment in all types of syngnathia and is to be followed by physical therapy.…”

Airway management in a child with partial mandibulo-maxillary fusion

“…Problems associated with syngnathia include maintenance and protection of the airway, feeding difficulties and particularly when surgical correction is planned – difficulty in induction of anaesthesia. [2] Securing airway is the biggest challenge in patients. With history of airway obstruction, our aim was to maintain spontaneous ventilation.…”