Seraj M A, Yousif M, Channa A B
Anaesthesia. 1984 Jul;39(7):695-8. doi: 10.1111/j.1365-2044.1984.tb06479.x.
Fusion of the jaws in the neonate is a very rare congenital anomaly which may be associated with other congenital defects such as aglossia, facial hemiatrophy or retrognathia. Ventilatory management for surgical separation of the fused jaws presents severe problems. In a recent case of a neonate with almost completely fused jaws requiring general anaesthesia, we used subanaesthetic doses of ketamine in combination with an insufflation technique. It took 45 minutes to reach the surgical stage of anaesthesia due to misplacement of the nasotracheal tube through an unsuspected cleft palate towards a gap between the jaws, a previously unreported combination of complications.
新生儿颌骨融合是一种非常罕见的先天性异常，可能与其他先天性缺陷有关，如先天性无舌、面部半侧萎缩或下颌后缩。融合颌骨手术分离的通气管理存在严重问题。在最近一例几乎完全融合颌骨的新生儿需要全身麻醉的病例中，我们使用了亚麻醉剂量的氯胺酮并结合吹入技术。由于经鼻气管导管通过未被怀疑的腭裂误置入颌骨间的间隙，这是一种先前未报道的并发症组合，达到麻醉手术阶段耗时45分钟。
