Airway management in pediatric tongue flap division for oronasal fistula closure: A case report
10.17245/jdapm.2018.18.5.309
- Author:
Eunsun SO
1
;
Hye Joo YUN
;
Myong Hwan KARM
;
Hyun Jeong KIM
;
Kwang Suk SEO
;
Hyunbin HA
Author Information
1. Department of Dental Anesthesiology, Seoul National University Dental Hospital, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Airway Management;
Oronasal Fistula;
Tongue Flap
- MeSH:
Airway Management;
Airway Obstruction;
Anesthesia, General;
Bronchoscopes;
Child;
Cleft Palate;
Fistula;
Humans;
Palate;
Patient Compliance;
Tongue
- From:Journal of Dental Anesthesia and Pain Medicine
2018;18(5):309-313
- CountryRepublic of Korea
- Language:English
-
Abstract:
Oronasal fistulae (ONF) could remain after surgery in some patients with cleft palate. ONF ultimately requires intraoral surgery, which may lead to perioperative airway obstruction. Tongue flap surgery is a technique used to repair ONF. During the second surgery for performing tongue flap division, the flap transplanted from the tongue dorsum to the palate of the patient acts as an obstacle to airway management, which poses a great challenge for anesthesiologists. In particular, anesthesiologists may face difficulty in airway evaluation and patient cooperation during general anesthesia for tongue flap division surgery in pediatric patients. The authors report a case of airway management using a flexible fiberoptic bronchoscope during general anesthesia for tongue flap division surgery in a 6-year-old child.
