Korean J Anesthesiol.  1994 Mar;27(3):292-297. 10.4097/kjae.1994.27.3.292.

A case report of fiberoptic intubation in neonate with cleft palate lateral synechia syndrome

• Kim JH
• Chae BK
• Kim JU
• Lee HW
• Kong MH
• Lim HJ
• Chang SH

• KMID: 2040016
• DOI: http://doi.org/10.4097/kjae.1994.27.3.292

Abstract

An one day old female baby was admitted to the Pediatric department of Korea University Anam Hospital for the evaluation of her facial anomaly. She was born by spontaneous vaginal delivery at term weighing 3.8 kg. On initial examination, she was noted to have congenital trismus and have cleft lip and palate. Bands of fibrous tissue were noted to extend from the superior alveolar part to inferior part at decidual molar tooth region and allowed oral opening of only 5 mm. She was transfered to the Plastic Surgery department under the diagnosis of cleft palate lateral synechia syndrome for resection of her synechial bands. In the operating room ECG, pulse oximeter and precordial stethoscope were applied to the patient and then, anesthesia was induced with , O2, N2O and enflurane. The 60 cm Olympus fiberscope with an external diameter of 2 mm was used and well lubricated 3.0 mm uncuffed endotracheal tube was threaded over the fiberscope through the oral cavity. The fiberscope was advanced into the midtrachea, then the endotracheal tube was passed over the fiberscope into the trachea After securing of the endotracheal tube, two lateral synechial bands were surgically divided. She tolerated oral feedings on postoperative 5 days without difficulty and discharged from the hospital on postoperative 6 days.

Keyword

CPLS syndrome; Flexible fiberoptic bronchoscope; Endotracheal intubation

MeSH Terms

Anesthesia
Cleft Lip
Cleft Palate*
Diagnosis
Electrocardiography
Enflurane
Female
Humans
Infant, Newborn*
Intubation*
Intubation, Intratracheal
Korea
Molar
Mouth
Operating Rooms
Palate
Stethoscopes
Surgery, Plastic
Tooth
Trachea
Trismus
Enflurane