Yavuz GÜRSOY, Hülya KORKMAZ, Ayşe KARCI, Yücel MOL

Konjenital bilateral mandibular hipoplazi ve hava yolu yönetimi (Olgu sunumu)

Zor hava yolu yönetiminin bilinen bir nedeni olan konjenital mandibular hipoplazi, sıklıkla sendromlarla birlikte görülen ve anomalinin düzeltilmesi amacıyla endotrakeal genel anestezi altında birden fazla cerrahi girişim gerektiren bir kraniyofasiyal dizostozdur. Bu olgu nedeniyle, bilateral konjenital mandibular hipoplazili olguda hava yolu yönteminin sunulması ve tartışılması amaçlanmıştır.

Anahtar Kelimeler:

Kraniyofasiyal dizostoz

Congenital bilateral mandibular hypoplasia and airway management (Case report)

Congenital mandibular hypoplasia, a well-known cause of difficult airway management, is frequently seen with syndromes and requires surgical intervention more than once for correction of an craniofacial dysostosis. In this case report, we aimed to present and discuss airway management in a patient with bilaterally congenital mandibular hypoplasia.

Keywords:

Craniofacial Dysostosis,

PDF

___

1. Singh DJ, Bartlett SP. Congenital mandibular hypoplasia: analysis and classification. J Craniofac Surg 2005; 16: 291-300.
2. Handler SD, Beaugard ME, Whitaker LA, Potsic WP. Airway management in repair of craniofacial defects. Cleft Palate J 1979; 16: 16-23.
3. Yıldız K, Madenoğlu H, Doğru K, Boyacı A. Apert sendromu ve anestezi. Anestezi Dergisi 2003; 11: 302-4.
4. Practice guidelines for management of the difficult airway: an updated report by the American Society of Anesthesiologists Task Force on management of the difficult airway. Anesthesiology 2003; 98: 1269-77.
5. Henderson JJ, Popat M, Latto IP, Pearce AC. Difficult Airway Society guidelines for management of the unanticipated difficult intubation. Anaesthesia 2004; 59: 675-94.
6. Mizuno J, Ichiishi N, In-nami H, Hanaoka K. Anesthetic management in a patient with Cornelia de Lange syndrome. Masui. 2004;53: 921-4.
7. Joo HS, Kapoor S, Rose DK, Naik VN. The intubating laryngeal mask airway after induction of general anesthesia versus awake fiberoptic intubation in patients with difficult airways. Anesth Analg 2001; 92: 1342-6.
8. Li CW, Xue FS, Deng XM, Xu KL, Tong SY, Liao X. Tracheal intubation under general anesthesia in patients with difficult laryngoscopy. Zhongguo Yi Xue Ke Xue Yuan Xue Bao. 2004; 26: 651-6.
9. Wong DT, Lai K, Chung FF, Ho RY. Cannot intubate-cannot ventilate and difficult intubation strategies: Results of a Canadian national survey. Anesth Analg 2005; 100: 1439-46.
10. Ferson D, Chi TL. Developments in general airway management. Thorac Surg Clin 2005; 15: 39-53.
11. Avidan MS, Harvey A, Chitkara N, Ponte J. The intubating laryngeal mask airway compared with direct laryngoscopy. Br J Anaesth 1999;83:615-7.
12. Brain AI. Verghese C, Addy EV, Kapila A, Brimacombe J. The intubating laryngeal mask. II: A preliminary clinical report of a new means of intubating the trachea. Br J Anaesth 1997; 79: 704-9.
13. Ferson DZ, Rosenblatt WH, Johansen MJ, Osborn I, Ovassapian A. Use of the intubating LMA-Fastrach™ in 254 patients with difficult-to-manage airways. Anesthesiology 2001; 95: 1175-81.
14. Pandit JJ, MacLachlan K, Dravid RM, Popat MT. Comparison of times to achieve tracheal intubation with three techniques using the laryngeal or intubating laryngeal mask airway. Anaesthesia 2002; 57:128-32.
15. Bilgin H, Kaya FN, Köse D, Tan S, Kofrah G, Kutlay O. Servikal patolojili olgularda fiberoptik yardımlı ve yardımsız "intubating" laringeal maske aracılığı ile endotrakeal entübasyonda başarı oranlarının karşılaştırılması. Türk Anest Rean Der Dergisi 2003; 31: 169-73.
16. Broennle AM, Teller L. Anesthesia for craniofacial procedures. Clin Plastic Surg 1987; 14: 17-26.
17. Finacane BT, Kupshik HL. A flexible stilette for replacing damaged tracheal tubes. Can Anaesth Soc J 1978; 25: 153-4.
18. Desai SP, Fencl V. A safe technique for changing endotracheal tubes.'(letter). Anesthesiology 1980; 53: 267.
19. Cherian MN, Mathews MP. Use of a J-wire cover as an endotracheal tube changer. J Clin Anesth 1997; 9: 586-8.
20. Wise-Faberowski L, Nargozian C. Utility of airway exchange catheters in pediatric patients with a known difficult airway. Ped Crit Care Med 2005; 6: 454-6.
21.. Baraka AS. Tension pneumothorax complicating jet ventilation via a Cook airway Exchange catheter. Anesthesiology 1999; 91: 557-8.
22. Loudermilk EP, Hartmannsgruber M, Stoltzfus DP, Langevin PB. A prospective study of the safety of tracheal extubation using a pediatric airway exchange catheter for patients with a known difficult airway. Chest 1997; 111: 1660-5.