Anaesthesia for cleft lip and palate surgery

Perioperative adverse airway events in cleft lip and palate repair

“…3,[5][6][7][8][9] In most developed countries, cleft lip and palate care has evolved into organised cleft teams based in regional or supraregional centres. 1 The situation is different in most developing nations, where lack of trained medical personnel still hinders a high-quality dedicated team approach to delivery of care to orofacial cleft patients. Many of these patients from resource-poor nations are managed through surgical outreach programmes funded by donor organisations around the world.…”

“…1 Its aetiology is complex and largely unknown, but usually attributed to genetic and environmental factors in isolation or in combination. Cleft lip and palate is also associated with an increased incidence of congenital abnormalities in other organ systems, including craniofacial disorders, which may pose challenges in airway management.…”

Cleft lip and palate surgery in children: Anaesthetic considerations

“…[1,2] Associated congenital anomalies or medical conditions may further complicate the anaesthetic management. [3] The risk for these complications reduces with increasing age.…”

Airway Management With Direct Laryngoscopy in a Child With Goldenhar Syndrome

“…The presence of cleft palate without cleft lip in a newborn is often correlated with other birth defects and syndromes 3 . The best known syndromes correlating with isolated cleft palate are Pierre Robin sequence, Treacher Collins syndrome, Goldenhar syndrome, and velocardiofacial syndrome.…”

“…After palatal surgery, children should be monitored as there is the possibility of postoperative apnea, bleeding or swelling 3 .…”