Neuhäuser C, Welter J, Arendt C, Bindl L, Schmitz B
Soins intensifs pédiatriques, Clinique pédiatrique, Centre Hospitalier de Luxembourg, 4 rue Ernest Barblé, 1210, Luxembourg, Luxembourg.
Anaesthesist. 2010 Dec;59(12):1102-4. doi: 10.1007/s00101-010-1786-7. Epub 2010 Sep 19.
The case of a 13-month-old child who developed a life-threatening macroglossia with airway obstruction following palatoplasty for a cleft palate is reported. As direct laryngoscopy was not feasible a laryngeal mask (LM) was inserted to secure the airway. Under fiber optic guidance an endotracheal tube was then introduced via the LM. In this article the incidence, pathophysiology, clinical dynamics, options for emergency anesthesia management and organizational implications of this rare but typical complication in the field of oral and craniomaxillofacial surgery are reported.
报告了一名13个月大儿童的病例，该儿童在腭裂修复术后出现危及生命的巨舌症并伴有气道阻塞。由于直接喉镜检查不可行，插入了喉罩（LM）以确保气道安全。然后在纤维光学引导下通过喉罩插入气管导管。本文报告了这种口腔和颅颌面外科领域罕见但典型并发症的发生率、病理生理学、临床动态、紧急麻醉管理选择及组织影响。
