Acute airway obstruction in an infant with Pierre Robin syndrome after palatoplasty.
Acta Anaesthesiol Scand
; 48(6): 787-9, 2004 Jul.
Article
em En
| MEDLINE
| ID: mdl-15196114
ABSTRACT
This report describes a complication of post-operative oedema of the palate, tongue and pharynx after a Perko-revised cleft palate repair, which resulted in a life-threatening airway obstruction in an infant with Pierre Robin syndrome. Although infants experiencing airway problems after Wardill-Kilner, von Langenbeck and Furlow palatoplasty have been described, airway complications in a group of Perko-revised repair children have not been previously reported. We speculate that this complication, which occurred in the absence of a history of previous airway problems, is due to prolonged operating time and excessive pressure exerted on the base of the tongue by the Kilner-Doughty retractor. Acknowledgments of this risk permits to identify those patients prior to surgery so that they can be managed appropriately.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Síndrome de Pierre Robin
/
Fissura Palatina
/
Obstrução das Vias Respiratórias
Tipo de estudo:
Etiology_studies
/
Prognostic_studies
Limite:
Female
/
Humans
/
Infant
Idioma:
En
Revista:
Acta Anaesthesiol Scand
Ano de publicação:
2004
Tipo de documento:
Article
País de afiliação:
Itália