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口腔粘连的手术及麻醉管理:一例报告

Surgery and Anesthesia Management for Intraoral Synechia: A Case Report.

作者信息

Gharavifard Mohammad, Kashani Iman, Joudi Marjan, Sharifian Majid, Sayedi Seyed Javad, Mohammadipanah Behrouz, Jamali-Behnam Farideh

机构信息

Department of Anesthesiology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

Cardiac Anesthesia Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

出版信息

Iran J Otorhinolaryngol. 2018 Mar;30(97):117-119.

Abstract

INTRODUCTION

Intraoral synechia is a rare congenital condition, generally associated with other maxillo-facial malformations. We present a neonate with congenital intraoral bilateral synechia without any other facial anomalies.

CASE REPORT

In this paper, we present a 19-day-old male neonate with congenital intraoral bilateral synechia without any other facial anomalies. We review the literature to discuss the surgical and anesthesia management of this rare congenital disease.

CONCLUSION

The disease manifested with a wide spectrum of symptoms. Most cases need surgery and airway management. In patients with a low risk of bleeding or a compromised airway, it is possible to manage them with face mask-inhalation anesthesia and maintain spontaneous breathing.

摘要

引言

口腔内粘连是一种罕见的先天性疾病,通常与其他颌面畸形相关。我们报告一例患有先天性口腔内双侧粘连且无其他面部异常的新生儿。

病例报告

在本文中,我们介绍一名19天大的男性新生儿,患有先天性口腔内双侧粘连且无其他面部异常。我们回顾文献以讨论这种罕见先天性疾病的手术和麻醉管理。

结论

该疾病表现出广泛的症状。大多数病例需要手术和气道管理。对于出血风险低或气道受损的患者,可以采用面罩吸入麻醉并维持自主呼吸来进行处理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b55/5866492/48438cc616bf/ijo-30-117-g001.jpg

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