European Journal of Therapeutics
Original Article

A Single Center Anesthesia Experience in Children Posted for Cleft Lip and Palate Repair: A Retrospective Analysis from a Post-anesthesia Care Unit

1.

Department of Anesthesiology, Hasan Kalyoncu University, Gaziantep, Turkey

2.

Department of Anesthesiology and Perioperative Medicine, Ümraniye Training and Research Hospital, Ümraniye/İstanbul, Turkey

Eur J Ther 1; 1: -
DOI: 10.5152/EurJTher.2019.19053
Read: 88 Downloads: 8 Published: 26 November 2019

Objective: Cleft lip and palate (CLP) is one of the most commonly seen craniofacial abnormalities in children. Anesthesia management for these surgeries is challenging due to airway problems and perioperative complications. Here, we aimed to evaluate the airway difficulties and perioperative anesthetic complications in children with cleft lip and palate.

Materials and Method: After obtaining approval from the institutional review board, this retrospective study was conducted on 29 children undergoing cleft lip and palate repair from January 2014 to December 2016 at a single center. Demographic parameters, patients having cleft lip, patients having micrognathia, associated syndromes, associated congenital abnormalities, difficult mask ventilation, difficult intubation, duration of anesthesia, number of intubated patients to transferred to post anesthesia care unit (PACU), airway complications, and intraoperative and postoperative complications were recorded.

Results: The data of a total of 29 patients with cleft palate were included. Of 29 patients, 15 patients had cleft lip, 17 patients had micrognathia, and 10 patients had both cleft lip and micrognathia. Three patients had difficult mask ventilation while seven had difficult intubation. Intubation failure was seen in three patients in whom fiber optic laryngoscope was utilized successfully. Airway-associated complications were seen in six patients. Only three of the patients had postoperative complications. There was no mortality.

Conclusion: Cleft lip and palate deformities in children with associated abnormalities are predisposed to difficult airway and postoperative complications. Specialized perioperative care is necessary.

Cite this article as: Taşdoğan AM, Tarıkçı Kılıç E. A Single Center Anesthesia Experience in Children Posted for Cleft Lip and Palate Repair: A Retrospective Analysis from a Post-anesthesia Care Unit. Eur J Ther 2019; DOI: 10.5152/EurJTher.2019.19053

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ISSN2564-7784 EISSN 2564-7040