Airway management in children with craniofacial anomalies.

Full Abstract

Craniofacial anomalies (CFA) predispose children to airway obstruction. A retrospective study was conducted to describe airway intervention required to manage patients with craniofacial syndromes and diseases involving the midface and mandible (i.e., Pierre Robin, Apert, Treacher Collins, Saethre-Chotzen, CHARGE, Nager, Stickler, Goldenhar, and Pfeiffer). The type of airway intervention, duration of intervention, and associated physical and medical conditions were evaluated. One hundred nine patients had charts available for review and met inclusion criteria. Sixty-five of these patients required airway management, most commonly in the first month of life, ranging from positioning to tracheotomy. Nineteen patients required a tracheotomy. Associated medical conditions and feeding difficulties were associated with airway obstruction. This study evaluates factors that predispose children with CFA to have airway problems that need treatment, as well as the types of airway management that are necessary.

Author information

Author/s: Perkins, J A (JA); Sie, K C (KC); Milczuk, H (H); Richardson, M A (MA);

Affiliation: Medical Corps, Otolaryngology-Head and Neck Surgery Service, Madigan Army Medical Center, Tacoma, Washington, USA.

Journal and publication information

Publication Type: Journal Article

Journal: The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association (Cleft Palate Craniofac J), published in UNITED STATES. (Language: eng)

Reference: 1997-Mar; vol 34 (issue 2) : pp 135-40

Dates: Created 1997/05/08; Completed 1997/05/08; Revised 2004/11/17;

PMID: 9138508, status: MEDLINE (last retrieval date: 2/18/2009, IMS Date: )

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