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KMID : 0356919940270030292
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Korean Journal of Anesthesiology
1994 Volume.27 No. 3 p.292 ~ p.297
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A Case Report of Fiberoptic Intubation in Neonate with Cleft Palate Lateral Synechia Syndrome
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김재환
채병국/김종욱/이혜원/공명훈/임혜자/장성호
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Abstract
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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 deliery 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 synechia 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 form the hospital on postoperative 6 days.
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KEYWORD
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