Early release of interalveolar synechiae under general anesthesia through fiberscopic nasal intubation.
This article presents a treatment strategy for early release of interalveolar synechiae, aiming to facilitate early oral feeding and prevent temporomandibular joint ankylosis.The treatment results of 2 patients with van der Woude syndrome were retrospectively studied. Both patients underwent early surgical release of interalveolar synechiae under general anesthesia through fiberscopic nasal intubation. The 2 patients were treated at the ages of 6 and 14 days, respectively. The interincisival distances increased from 5 and 6 mm preoperatively to 11 and 10 mm immediately after surgery. This was increased further to 25 and 20 mm at long-term follow-up (6 and 24 months).In conclusion, synechiae between the upper and lower jaws can be safely treated at a very early age under general anesthesia with fiberscopic nasotracheal intubation. The purpose of early intervention in these cases is to facilitate oral feeding and prevent temporomandibular joint ankylosis.
Department of Surgical Sciences, Uppsala University, Uppsala, Sweden.
Andreas
A
Svee
Peter
P
Frykholm
Arne
A
Linder
Malin
M
Hakelius
Valdemar
V
Skoog
Daniel
D
Nowinski
D000015:Abnormalities, Multiple / Q000601:surgery*; D000768:Anesthesia, General; D002971:Cleft Lip / Q000601:surgery*; D002972:Cleft Palate / Q000601:surgery*; D003560:Cysts / Q000601:surgery*; D005260:Female; D005336:Fiber Optic Technology; D006801:Humans; D007231:Infant, Newborn; D007440:Intubation / Q000379:methods; D008046:Lip / Q000002:abnormalities / Q000601:surgery; D008297:Male; D019647:Oral Surgical Procedures / Q000379:methods*; D000267:Tissue Adhesions / Q000601:surgery*