Outcome of anesthetic management for children with craniofacial deformities

Sinkueakunkit, Akkharawat; Chowchuen, Bowornsilp; Kantanabat, Chonrat; Sriraj, Wimonrat; Wongswadiwat, Malinee; Bunsangjaroen, Piyaporn; Chantawong, Sarinya; Wittayapairoj, Aumjit

doi:10.1111/ped.12080

Cited by 9 publications

(8 citation statements)

References 18 publications

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“…The common types of facial cle s encountered in clinical anesthesia practice are described in Table 1. [9][10][11] The common types of craniofacial cle s encountered are described in Table 2.…”

Section: Craniofacial Cleftsmentioning

confidence: 99%

Craniofacial and maxillary anomalies: Anesthetic implications and management

Bajwa

Kulshrestha

2014

J Sci Soc

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Section: Craniofacial Cleftsmentioning

confidence: 99%

Craniofacial and maxillary anomalies: Anesthetic implications and management

Bajwa

Kulshrestha

2014

J Sci Soc

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“…These could lead to complications of respiratory problems, vision, cleft palate and hearing loss [ 6 ]. A retrospective study of 45 children in 2005-2009 with craniofacial deformities revealed that children with TCS had the most difficult airway management with DL view, often requiring multiple airway accessories and intubation techniques [ 7 ]. The two most common methods of airway management used were stylet and fiberoptic intubation [ 7 ].…”

Section: Discussionmentioning

confidence: 99%

“…A retrospective study of 45 children in 2005-2009 with craniofacial deformities revealed that children with TCS had the most difficult airway management with DL view, often requiring multiple airway accessories and intubation techniques [ 7 ]. The two most common methods of airway management used were stylet and fiberoptic intubation [ 7 ]. Another retrospective study on TCS children showed that 53% of the 97 cases had modified Cormack Lehane (MCL) view grade 3 and grade 4 DL and failed intubation rate of 5% in 123 cases and that their MCL views become more difficult with increasing age [ 8 ].…”

Section: Discussionmentioning

confidence: 99%

Negative Pressure Pulmonary Edema Related to Laryngospasm and Upper Airway Obstruction in a Patient With Treacher Collins Syndrome

Cheng

Wang

2021

Cureus

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Laryngospasm is an uncommon complication of anesthesia in adults but more common in pediatric anesthesia, which could present similarly to supraglottic upper airway obstruction. The management of such airway complications is even more difficult in patients with difficult mask ventilation and intubation. Our case illustrated the management of laryngospasm and negative pressure pulmonary edema in a patient with Treacher Collins syndrome. A literature search revealed few previous similar reports. We demonstrated an algorithm to differentiate between the true laryngospasm from the supraglottic upper airway obstruction, the management of laryngospasm in patients with difficult airways, and the recognition and management of negative pressure pulmonary edema as a complication of laryngospasm.

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“…The procedure was very rapidly completed at the first attempt, maintaining the patient in spontaneous breathing, and the armed orotracheal tube was correctly positioned. During surgery any other anesthetic complication was not observed [ 14 ].…”

Section: Case Reportmentioning

confidence: 99%

Original Solution for Middle Ear Implant and Anesthetic/Surgical Management in a Child with Severe Craniofacial Dysmorphism

Bianchin

Tribi

Reverzani

et al. 2015

Case Reports in Otolaryngology

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We describe the novel solution adopted in positioning middle ear implant in a child with bilateral congenital aural atresia and craniofacial dysmorphism that have posed a significant challenge for the safe and correct management of deafness. A five-year-old child, affected by a rare congenital disease (Van Maldergem Syndrome), suffered from conductive hearing loss. Conventional skin-drive bone-conduction device, attached with a steel spring headband, has been applied but auditory restoration was not optimal. The decision made was to position Vibrant Soundbridge, a middle ear implant, with an original surgical application due to hypoplasia of the tympanic cavity. Intubation procedure was complicated due to child craniofacial deformities. Postoperative hearing rehabilitation involved a multidisciplinary team, showing improved social skills and language development.

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Outcome of anesthetic management for children with craniofacial deformities

Abstract: A successful outcome depended on the provision of interdisciplinary craniofacial team management, comprehensive anesthetic evaluation and management, well-informed and cooperative children and supportive family members.

Cited by 9 publications

References 18 publications

Craniofacial and maxillary anomalies: Anesthetic implications and management

Craniofacial and maxillary anomalies: Anesthetic implications and management

Negative Pressure Pulmonary Edema Related to Laryngospasm and Upper Airway Obstruction in a Patient With Treacher Collins Syndrome

Original Solution for Middle Ear Implant and Anesthetic/Surgical Management in a Child with Severe Craniofacial Dysmorphism

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