[Successful tracheal intubation in a child with facial multi-clefts and difficult airway: case report.].
A male patient, aged 7 years, was intended to undergo plastic surgery under general anesthesia with tracheal intubation for his severe facial abnormities as a result of 5, 6, 7 combined facial clefts. Because of his severe facial abnormities and preoperative undetected bilateral antiadoncus, during the period of induction, dyspnoea and dysventilation took place, which were relieved by inserting a medium-sized oropharyngeal airway with difficulty; during euthyphoirally exploring his endolarynx with direct laryngoscope, laryngospasm occurred, which was relieved through inserting airway and pressurizing ventilation; repetitively attempted to blindly insert tracheal intubation through nostril, but failed. Finally, his intubation was achieved by blindly intubating through oral cavity under the assistance of direct laryngoscope.
Geng
Qing-sheng
QS
Department of Anesthesiology, Ninth People's Hospital, Shanghai Second Medical University, Shanghai 200011, China.
Xu
Hui
H
Jiang
Hong
H
Zhu
Ye-sen
YS
D000768:Anesthesia, General; D002648:Child; D002972:Cleft Palate / Q000601:surgery*; D006801:Humans; D007442:Intubation, Intratracheal / Q000379:methods*; D007828:Laryngoscopy / Q000379:methods; D008297:Male