Airway management in pediatric tongue flap division for oronasal fistula closure: A case report
소은선, 윤혜주, 감명환, 김현정, 서광석, Ha Hyun-Bin,
소속 상세정보
소은선 ( So Eun-Sun ) - Seoul National University Dental Hospital Department of Dental Anesthesiology
윤혜주 ( Yun Hye-Joo ) - Seoul National University Dental Hospital Department of Dental Anesthesiology
감명환 ( Karm Myong-Hwan ) - Seoul National University Dental Hospital Department of Dental Anesthesiology
김현정 ( Kim Hyun-Jeong ) - Seoul National University School of Dentistry Department of Dental Anesthesiology
서광석 ( Seo Kwang-Suk ) - Seoul National University School of Dentistry Department of Dental Anesthesiology
( Ha Hyun-Bin ) - Seoul National University Dental Hospital Department of Oral and Maxillofacial Surgery
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.
키워드
Airway Management; Oronasal Fistula; Tongue Flap
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