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KMID : 0980320180180050309
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Journal of Dental Anesthesia and Pain Medicine
2018 Volume.18 No. 5 p.309 ~ p.313
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Airway management in pediatric tongue flap division for oronasal fistula closure: A case report
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So Eun-Sun
Yun Hye-Joo
Karm Myong-Hwan
Kim Hyun-Jeong
Seo Kwang-Suk
Ha Hyun-Bin
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Abstract
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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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KEYWORD
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Airway Management, Oronasal Fistula, Tongue Flap
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