Congenital mouth abnormalities: Unilateral oral synechia in infant

Caixeta, Rafael Antônio Velôso; Oliveira, P. M.; Barbosa, Luiz Fernando de P.; Marques, K.L.S.; Castro, Alessandra Maia de; Oliveira, Danielly Cunha Araújo Ferreira de

doi:10.1016/j.pdj.2019.09.001

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2023

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“…In addition to the degree and extent of fusion of the structures in the oral cavity, associated anomalies such as micrognathia and macroglossia can result in airway obstruction. Glossoptosis (tongue fall), which is the backward falling of the tongue that obstructs the airway, is a common problem that necessitates nursing the children in lateral or prone position 5. Early division of adhesions may be warranted, to allow normal mouth opening, effective feeding and prevention of facial deformity 6.…”

Section: Discussionmentioning

confidence: 99%

Anaesthetic management of an infant with cleft palate lateral synechiae syndrome

Gayathri,

Venkatraman,

Murugan

et al. 2023

BMJ Case Rep

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An infant with restricted mouth opening from birth had presented for cleft lip repair. He had an interalveolar gap of 6 mm and was diagnosed as a case of cleft palate lateral synechiae syndrome. Fibreoptic bronchoscope of appropriate size was not available at the time of the procedure, and we had to device an alternative plan. The case describes the common challenges that can arise while anaesthetising infants with this syndrome in a resource-limited setting and highlights the importance of adapting the protocol to the demands.

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Section: Discussionmentioning

confidence: 99%