Airway and respiratory complications in children undergoing cleft lip and palate repair

Desalu, I; Adeyemo, WL; Akintimoye, MO; Adepoju, AA

doi:10.4314/gmj.v44i1.68851

Cited by 43 publications

(67 citation statements)

References 14 publications

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“…The retrospective studies show a complication rate of 14.2-58%,[2111516] whereas we observed a complication rate of 8.1%. Most of the complications (42.2%) were observed in children <2 years.…”

Section: Discussioncontrasting

confidence: 60%

A retrospective analysis of anesthetic experience in 2917 patients posted for cleft lip and palate repair

et al. 2013

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Context:Anaesthesia during cleft lip and palate surgery carries a high risk and difficult airway management in children.Aim:to study the perioperative anesthetic complications in poor children with cleft abnormalities.Settings and Design:Retrospective analysis.Materials and Methods:This retrospective audit was conducted on 2917 patients of smile train project under going general anesthesia for cleft lip and palate from January 2007 to December 2010. Demographic, pre-anesthetic status, anesthetic management and anesthesia complications were recorded. Chi-square test was used to assess the relation between patient factors and occurrence of complications.Results:Of the 3044, we were able to procure complete data of 2917 patients. Most of children presented with anemia 251 (35%), 202 (29%) had eosinophilia while 184 (26%) had upper respiratory tract infection. The incidence of perioperative complications was 8.19% of which 33.7% critical incidents occurred during the induction time. The most common complication was laryngospasm 77 (40.9%) followed by difficult intubation 64 (30.9%). There was no mortality.Conclusion:Since these procedures do not characterize an emergency, most of the perioperative complications can be prevented by following the routine installed by the institute and smile train protocols.

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Section: Discussioncontrasting

confidence: 60%

A retrospective analysis of anesthetic experience in 2917 patients posted for cleft lip and palate repair

et al. 2013

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“…5 Several studies describe the mechanisms by which macroglossia develops after palatoplasty; glossal haematoma, necrosis of the tongue muscles, venous stasis or lymphoedema may develop due to excessive pressure exerted on the base of the tongue by the Dingman retractor, the congestion and oedema may be aggravated by hyperextension of the neck and the Trendelenburg position. 5,6,10 The presence of associated craniofacial anomalies in some cleft patients make the child more prone to such airway compromise. 2,6 During cleft palate repair, closure of the nasal layer necessitates adequate elevation and approximation of the mucoperiosteum of the nasal floor resulting in reduction of the cross sectional area of the nasal cavity and narrowing of the nasal airway.…”

Section: Discussionmentioning

confidence: 99%

The effect of steroid injection of the tongue base on reducing postoperative airway obstruction in cleft palate repair

Abdel‐Aziz

Ahmed

Naguib

et al. 2012

International Journal of Oral and Maxillofacial Surgery

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“…Incidence of difficult or failed laryngoscopy in patients with cleft lip and/or palate ranges from 4.0% to 7.4% . However, in patients with bilateral cleft lip and palate, the incidence of difficult laryngoscopy has been reported to be 16.5–45.8% .…”

Section: Introductionmentioning

confidence: 99%

A novel intubation technique in bilateral cleft palate pediatric patients: hard gum shield–aided intubation

Mahmoud

Fouad

Mansour

et al. 2012

Pediatric Anesthesia

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Airway and respiratory complications in children undergoing cleft lip and palate repair

Cited by 43 publications

References 14 publications

A retrospective analysis of anesthetic experience in 2917 patients posted for cleft lip and palate repair

A retrospective analysis of anesthetic experience in 2917 patients posted for cleft lip and palate repair

The effect of steroid injection of the tongue base on reducing postoperative airway obstruction in cleft palate repair

A novel intubation technique in bilateral cleft palate pediatric patients: hard gum shield–aided intubation

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