Airway Management of an Infant Presenting with Syngnathia for Surgical Correction

Abstract

Syngnathia, congenital fusion of the mandible and maxilla, is a rare anomaly. We describe fiberoptic intubation of the trachea whilst controlling the airway with a nasal tube. A simple modification of this technique, previously described in the management of the difficult pediatric airway [1], simplifies the procedure with less potential for complications.

Share and Cite:

H. Lonnée, A. Rashad, G. Rahimi and F. Labat, "Airway Management of an Infant Presenting with Syngnathia for Surgical Correction," Open Journal of Anesthesiology, Vol. 3 No. 1, 2013, pp. 35-37. doi: 10.4236/ojanes.2013.31010.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1] R. Holm-Knudsen, K. Eriksen and L. S. Rasmussen, “Using a Nasopharyngeal Airway during Fiberoptic Intubation in Small Children with a Difficult Airway,” Pediatric Anesthesia, Vol. 15, No. 10, 2005, pp. 839-845. doi:10.1111/j.1460-9592.2004.01566.x
[2] http//:www.chainedelespoir.org
[3] V. Patel, M. C. Theroux and J. Reilly, “Popliteal Pterygium Syndrome with Syngnathia,” Pediatric Anesthesia, Vol. 13, No. 1, 2003, pp. 80-82. doi:10.1046/j.1460-9592.2003.00981.x
[4] C. Gahm, R. Kuylenstierna and G. Papatziamos, “Popliteal Pterygium Syndrome (PPS) with Intra-Alveolar Syngnathia: A Discussion of Anesthetic and Surgical Considerations,” International Journal of Pediatric Otorhinolaryngology, Vol. 71, No. 10, 2007, pp. 1613-1616. doi:10.1016/j.ijporl.2007.05.024
[5] A. Jansen and G. Johnston, “The Shikani Optical Stylet: A Useful Adjunct to Airway Management in a Neonate with Popliteal Pterygium Syndrome,” Pediatric Anesthesia, Vol. 18, No. 2, 2008, pp. 188-190. doi:10.1111/j.1460-9592.2007.02401.x
[6] S. Meier, J. Geiduschek, R. Paganoni, F. Fuehrmeyer and A. Reber, “The Effect of Chin Lift, Jaw Thrust, and Continuous Positive Airway Pressure on the Size of the Glottic Opening and on Stridor Score in Anesthetized, Spontaneously Breathing Children,” Anesthesia & Analgesia, Vol. 94, No. 3, 2002, pp. 494-499. doi:10.1097/00000539-200203000-00004

Copyright © 2024 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.