Volume 26, Issue 122, April 2022

Anesthetic management of a 13 year old child with kyphoscoliosis and complete cleft of soft palate posted for surgical repair of soft palate

Shiras P¹, Sanjot Ninave², Aruna Chandak³, Vivek Chakole⁴, Nikhil Bhalerao⁵, Krishnendu S⁶

¹Junior resident 3rd year, Department of Anesthesiology , Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Science, Maharashtra, India
²Professor, Department of Anaesthesiology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Science, Maharashtra, India
³Professor, Department of Anaesthesiology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Science, Maharashtra, India
⁴Professor and Head, Department of Anaesthesiology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Science, Maharashtra, India
⁵Assistant Professor, Department of Anaesthesiology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Science, Maharashtra, India
⁶Junior resident 3rd year, Department of Anaesthesiology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Science, Maharashtra, India

ABSTRACT

Due to the unique anatomical and physiological variations of the airway of a child with cleft lip and palate, anesthesiologists may find it difficult to manage it properly. As a result, cleft lip and palate surgery in children will necessitate careful attention, detailed understanding, and practical application in anaesthetic preparation. While the majority of individuals have isolated CLP, a considerable percentage of them also have related abnormalities. Other issues with the formation of the branchial arch are the most noticeable (e.g. ear or upper airway defects). Anomalies of the heart, kidneys, and skeleton are among them. Associated anomalies could be part of a defined pattern, indicating which flaws to expect; the number of such disorders, including CLP, is growing by the day, ranging from the obvious, such as Trisomy 21, to the more subtle, such as Velocardiofacial Syndrome. Here we report anaesthetic management of a 13 old girl with congenital complete cleft of soft palate with kyphoscoliosis posted for surgical repair of soft palate under general anesthesia.

Keywords: Cleft palate, Kyphoscoliosis, anaesthetic management.

Medical Science, 2022, 26, ms127e2113

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DOI: https://doi.org/10.54905/disssi/v26i122/ms127e2113

Published: 09 April 2022