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儿童巨大下颌牙源性黏液瘤的麻醉处理——病例报告

Anesthetic management of a large mandibular odontogenic myxoma in a child - a case report.

作者信息

Kuttan Koovakattil Akhil, Padala Sri Rama Ananta Nagabhushanam, Vinay Anagha P, Aravind Kuruba, Kiran Molli

机构信息

Department of Anesthesiology, All India Institute of Medical Sciences (AIIMS), Bhopal, India.

出版信息

J Dent Anesth Pain Med. 2024 Jun;24(3):213-217. doi: 10.17245/jdapm.2024.24.3.213. Epub 2024 May 27.

DOI:10.17245/jdapm.2024.24.3.213
PMID:38840650
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11148415/
Abstract

Numerous neoplastic lesions can arise in the orofacial region in the pediatric populations. Odontogenic tumors typically affect the mandible more than the maxilla. Airway management can be challenging in pediatric oral tumors because of the distorted anatomy and physiological variations. Conventional awake fiberoptic intubation is not always possible owing to limited cooperation from the pediatric populations. Herein, we report the case of a 1-year-old child with odontogenic myxoma of the mandible and an anticipated difficult airway. Given the expected difficulties in the airway, video laryngoscope-assisted orotracheal intubation under general anesthesia with maintenance of spontaneous breathing was scheduled. Proper planning and thorough examinations are vital for successful airway management in pediatric patients.

摘要

许多肿瘤性病变可发生于儿童人群的口面部区域。牙源性肿瘤通常对下颌骨的影响比对上颌骨更大。由于解剖结构扭曲和生理变异，小儿口腔肿瘤的气道管理具有挑战性。由于儿童人群配合有限，传统的清醒纤维喉镜插管并不总是可行的。在此，我们报告一例1岁患有下颌骨牙源性黏液瘤且预计气道困难的患儿。鉴于气道预计存在的困难，计划在全身麻醉下保留自主呼吸的情况下，采用视频喉镜辅助经口气管插管。对于小儿患者气道管理的成功，合理规划和全面检查至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed9c/11148415/40f4c5f3e600/jdapm-24-213-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed9c/11148415/4f70ab3300ba/jdapm-24-213-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed9c/11148415/1e33e28714df/jdapm-24-213-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed9c/11148415/b07d03de9c58/jdapm-24-213-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed9c/11148415/40f4c5f3e600/jdapm-24-213-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed9c/11148415/4f70ab3300ba/jdapm-24-213-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed9c/11148415/1e33e28714df/jdapm-24-213-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed9c/11148415/b07d03de9c58/jdapm-24-213-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed9c/11148415/40f4c5f3e600/jdapm-24-213-g004.jpg

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