Yιldιrιm Zeynep Baysel, Avci Emel, Torun Fuat, Cengiz Mustafa, Cigdem Ali, Karabağ Hamza, Karaman Haktan
Department of Anesthesiology and Reanimation, Dicle University, Diyarbakir, Turkey.
J Neurosci Rural Pract. 2011 Jul;2(2):159-61. doi: 10.4103/0976-3147.83583.
Encephalocele, midline defect of cranial bone fusion, occurs most frequently in the occipital region. Airway management in pediatric patients with craniofacial disorders poses many challenges to the anesthesiologist. The purpose of this study is to describe the airway problems encountered for such cases, and describe how these problems were managed.
We reviewed the charts of occipital encephalocele newborn that were treated by surgical correction in Harran University Hospital during 2006-2008. The collected data were categorized into preoperative, intraoperative, and postoperative data.
The mean age of the patients was 5.17 days. Of these 17 patients, eight patients (47.1%) had hydrocephaly, one patient (5.8%) with Dandy Walker syndrome. Micrognathia, macroglossia, restriction in neck movements were recorded as the reasons in six cases each. No major anesthetic complication was found.
We reported perioperative management in 17 occipital encephalocele infant. Comprehensive care during peroperative period is essential for successful outcome.
脑膨出是颅骨融合的中线缺损，最常发生在枕部区域。小儿颅面疾病患者的气道管理给麻醉医生带来了诸多挑战。本研究的目的是描述此类病例中遇到的气道问题，并描述这些问题是如何处理的。
我们回顾了2006年至2008年期间在哈兰大学医院接受手术矫正的枕部脑膨出新生儿的病历。收集的数据分为术前、术中和术后数据。
患者的平均年龄为5.17天。在这17例患者中，8例（47.1%）患有脑积水，1例（5.8%）患有丹迪-沃克综合征。小颌畸形、巨舌症、颈部活动受限在6例中均被记录为原因。未发现重大麻醉并发症。
我们报告了17例枕部脑膨出婴儿的围手术期管理。围手术期的综合护理对于成功的结果至关重要。
