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Feeding obturator as an airway adjunct during complete unilateral cleft palate repair
BACKGROUND AND AIMS: The palatal defect and abnormal dentition in cleft palate make mask ventilation and laryngoscopy difficult. This study aimed to assess the effect of feeding obturator on laryngeal view in unilateral complete cleft palate. METHODS: Ninety non-syndromic infants scheduled for the f...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5971627/ https://www.ncbi.nlm.nih.gov/pubmed/29910496 http://dx.doi.org/10.4103/ija.IJA_714_17 |
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author | Moustafa, Moustafa Abdelaziz Kandeel, Alaa Abdelrahman Habib, Ahmed M A Hassan, Shady A |
author_facet | Moustafa, Moustafa Abdelaziz Kandeel, Alaa Abdelrahman Habib, Ahmed M A Hassan, Shady A |
author_sort | Moustafa, Moustafa Abdelaziz |
collection | PubMed |
description | BACKGROUND AND AIMS: The palatal defect and abnormal dentition in cleft palate make mask ventilation and laryngoscopy difficult. This study aimed to assess the effect of feeding obturator on laryngeal view in unilateral complete cleft palate. METHODS: Ninety non-syndromic infants scheduled for the first stage correction of complete unilateral cleft palate were randomised to Group A (no feeding obturator) or Group B (obturator used for induction and intubation). The primary objective was to assess effect of the feeding obturator on the Cormack–Lehane grade on laryngoscopy. Effects on face mask ventilation, easiness of laryngoscopy and intubation and the side effects were also measured. RESULTS: Ninety patients completed the study. There was no statistically significant difference between the two groups regarding the CL grade (P < 0.1). However duration for intubation was significantly longer in Group A than Group B (31.4 ± 12.8 vs. 23.4 ± 40.7 sec, P < 0.001). The degree of difficulty of face mask ventilation was significantly greater in Group A than Group B (P < 0.008). Attempts for successful intubation and manoeuvres for successful intubation were significantly more in Group A than B (P < 0.05). Trauma occurred in ten patients in Group A relative to no patients in Group B. CONCLUSION: Use of a pre-sized obturator in infants with complete unilateral cleft palate does not improve the laryngoscopic view. However, it results in better face mask ventilation and easier and faster laryngoscopy and intubation. |
format | Online Article Text |
id | pubmed-5971627 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-59716272018-06-15 Feeding obturator as an airway adjunct during complete unilateral cleft palate repair Moustafa, Moustafa Abdelaziz Kandeel, Alaa Abdelrahman Habib, Ahmed M A Hassan, Shady A Indian J Anaesth Original Article BACKGROUND AND AIMS: The palatal defect and abnormal dentition in cleft palate make mask ventilation and laryngoscopy difficult. This study aimed to assess the effect of feeding obturator on laryngeal view in unilateral complete cleft palate. METHODS: Ninety non-syndromic infants scheduled for the first stage correction of complete unilateral cleft palate were randomised to Group A (no feeding obturator) or Group B (obturator used for induction and intubation). The primary objective was to assess effect of the feeding obturator on the Cormack–Lehane grade on laryngoscopy. Effects on face mask ventilation, easiness of laryngoscopy and intubation and the side effects were also measured. RESULTS: Ninety patients completed the study. There was no statistically significant difference between the two groups regarding the CL grade (P < 0.1). However duration for intubation was significantly longer in Group A than Group B (31.4 ± 12.8 vs. 23.4 ± 40.7 sec, P < 0.001). The degree of difficulty of face mask ventilation was significantly greater in Group A than Group B (P < 0.008). Attempts for successful intubation and manoeuvres for successful intubation were significantly more in Group A than B (P < 0.05). Trauma occurred in ten patients in Group A relative to no patients in Group B. CONCLUSION: Use of a pre-sized obturator in infants with complete unilateral cleft palate does not improve the laryngoscopic view. However, it results in better face mask ventilation and easier and faster laryngoscopy and intubation. Medknow Publications & Media Pvt Ltd 2018-05 /pmc/articles/PMC5971627/ /pubmed/29910496 http://dx.doi.org/10.4103/ija.IJA_714_17 Text en Copyright: © 2018 Indian Journal of Anaesthesia http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Original Article Moustafa, Moustafa Abdelaziz Kandeel, Alaa Abdelrahman Habib, Ahmed M A Hassan, Shady A Feeding obturator as an airway adjunct during complete unilateral cleft palate repair |
title | Feeding obturator as an airway adjunct during complete unilateral cleft palate repair |
title_full | Feeding obturator as an airway adjunct during complete unilateral cleft palate repair |
title_fullStr | Feeding obturator as an airway adjunct during complete unilateral cleft palate repair |
title_full_unstemmed | Feeding obturator as an airway adjunct during complete unilateral cleft palate repair |
title_short | Feeding obturator as an airway adjunct during complete unilateral cleft palate repair |
title_sort | feeding obturator as an airway adjunct during complete unilateral cleft palate repair |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5971627/ https://www.ncbi.nlm.nih.gov/pubmed/29910496 http://dx.doi.org/10.4103/ija.IJA_714_17 |
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