J Dent Anesth Pain Med.
2018 Oct;18(5):309-313. 10.17245/jdapm.2018.18.5.309.
Airway management in pediatric tongue flap division for oronasal fistula closure: A case report
- Affiliations
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- 1Department of Dental Anesthesiology, Seoul National University Dental Hospital, Seoul, Korea.
- 2Department of Dental Anesthesiology, Seoul National University, School of Dentistry, Seoul, Korea. stone90@snu.ac.kr
- 3Department of Oral and Maxillofacial Surgery, Seoul National University Dental Hospital, Seoul, Korea.
- KMID: 2424373
- DOI: http://doi.org/10.17245/jdapm.2018.18.5.309
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.
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