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Airway management in a rare case of congenital palate teratoma with a cleft palate: A case report

Airway management in neonates is difficult because of the risk of rapid hypoxia. It presents a challenge even for an experienced anesthesiologist. Oral tumors in neonates can obstruct the airway or feeding problems in the newborn. Surgical excision is the treatment of choice but these tumors can ser...

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Autores principales: Regaieg, Chiraz, Jarraya, Anouar, Ammar, Saloua, Kallel, Souha, Maaloul, Imen, Karray, Fathi, Mhiri, Riadh, Kolsi, Kamel, Ben thabet, Afef, Hmida, Nedia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10657520/
https://www.ncbi.nlm.nih.gov/pubmed/38022859
http://dx.doi.org/10.1177/2050313X231213250
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author Regaieg, Chiraz
Jarraya, Anouar
Ammar, Saloua
Kallel, Souha
Maaloul, Imen
Karray, Fathi
Mhiri, Riadh
Kolsi, Kamel
Ben thabet, Afef
Hmida, Nedia
author_facet Regaieg, Chiraz
Jarraya, Anouar
Ammar, Saloua
Kallel, Souha
Maaloul, Imen
Karray, Fathi
Mhiri, Riadh
Kolsi, Kamel
Ben thabet, Afef
Hmida, Nedia
author_sort Regaieg, Chiraz
collection PubMed
description Airway management in neonates is difficult because of the risk of rapid hypoxia. It presents a challenge even for an experienced anesthesiologist. Oral tumors in neonates can obstruct the airway or feeding problems in the newborn. Surgical excision is the treatment of choice but these tumors can seriously worsen the conditions of intubation. To surmount these difficulties, a particular multidisciplinary approach and special precautions are needed. We describe the airway management and precautions taken in the anesthesia for surgical removal of a case of large congenital palate teratoma associated with a wide cleft palate in a 25-day-old girl. Impossible intubation was predicted on magnetic resonance imaging. The difficult airway management cart as well as an otorhinolaryngologist skilled in performing emergency tracheostomies in neonates were available. The patient was intubated by conventional laryngoscopy under sevoflurane inhalation anesthesia. The tumor was successfully resected. This case poses a challenge for managing the airway because of the possibility of obstruction of the airway and the difficulty of the airway that radiological exams have allowed us. So, a multidisciplinary team effort is needed for successful neonatal airway management.
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spelling pubmed-106575202023-11-17 Airway management in a rare case of congenital palate teratoma with a cleft palate: A case report Regaieg, Chiraz Jarraya, Anouar Ammar, Saloua Kallel, Souha Maaloul, Imen Karray, Fathi Mhiri, Riadh Kolsi, Kamel Ben thabet, Afef Hmida, Nedia SAGE Open Med Case Rep Case Report Airway management in neonates is difficult because of the risk of rapid hypoxia. It presents a challenge even for an experienced anesthesiologist. Oral tumors in neonates can obstruct the airway or feeding problems in the newborn. Surgical excision is the treatment of choice but these tumors can seriously worsen the conditions of intubation. To surmount these difficulties, a particular multidisciplinary approach and special precautions are needed. We describe the airway management and precautions taken in the anesthesia for surgical removal of a case of large congenital palate teratoma associated with a wide cleft palate in a 25-day-old girl. Impossible intubation was predicted on magnetic resonance imaging. The difficult airway management cart as well as an otorhinolaryngologist skilled in performing emergency tracheostomies in neonates were available. The patient was intubated by conventional laryngoscopy under sevoflurane inhalation anesthesia. The tumor was successfully resected. This case poses a challenge for managing the airway because of the possibility of obstruction of the airway and the difficulty of the airway that radiological exams have allowed us. So, a multidisciplinary team effort is needed for successful neonatal airway management. SAGE Publications 2023-11-17 /pmc/articles/PMC10657520/ /pubmed/38022859 http://dx.doi.org/10.1177/2050313X231213250 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Case Report
Regaieg, Chiraz
Jarraya, Anouar
Ammar, Saloua
Kallel, Souha
Maaloul, Imen
Karray, Fathi
Mhiri, Riadh
Kolsi, Kamel
Ben thabet, Afef
Hmida, Nedia
Airway management in a rare case of congenital palate teratoma with a cleft palate: A case report
title Airway management in a rare case of congenital palate teratoma with a cleft palate: A case report
title_full Airway management in a rare case of congenital palate teratoma with a cleft palate: A case report
title_fullStr Airway management in a rare case of congenital palate teratoma with a cleft palate: A case report
title_full_unstemmed Airway management in a rare case of congenital palate teratoma with a cleft palate: A case report
title_short Airway management in a rare case of congenital palate teratoma with a cleft palate: A case report
title_sort airway management in a rare case of congenital palate teratoma with a cleft palate: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10657520/
https://www.ncbi.nlm.nih.gov/pubmed/38022859
http://dx.doi.org/10.1177/2050313X231213250
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