Experience of General Anesthesia for Glossopexy in Infants With Robin Sequence

We present a case of an infant patient with Robin sequence (Pierre Robin sequence; PRS) who underwent general anesthesia for a glossopexy procedure. Pediatric patients with PRS are prone to upper airway obstruction during general anesthesia induction and intubation difficulties due to micrognathia and glossoptosis. In this case, we facilitated mask ventilation by inserting a nasopharyngeal airway before induction and successfully intubated the patient using a 2-person technique that combined the use of a video laryngoscope and a flexible fiber-optic scope. This experience suggests that the use of appropriate devices can help ensure airway patency and enhance visualization and maneuverability during intubation.

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Publication Details

Journal
Anesthesia Progress
Published
2024-12-01
DOI
https://doi.org/10.2344/anpr-24-0004
Primary Topic
Craniofacial Disorders and Treatments
Type
article
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article

Experience of General Anesthesia for Glossopexy in Infants With Robin Sequence

Hiroharu Maegawa, Chizuko Yokoe, Chiaki Yoshikawa, Hitoshi Niwa
Anesthesia Progress
Craniofacial Disorders and Treatments
article

Experience of General Anesthesia for Glossopexy in Infants With Robin Sequence

Hiroharu Maegawa, Chizuko Yokoe, Chiaki Yoshikawa, Hitoshi Niwa
article en

Abstract

We present a case of an infant patient with Robin sequence (Pierre Robin sequence; PRS) who underwent general anesthesia for a glossopexy procedure. Pediatric patients with PRS are prone to upper airway obstruction during general anesthesia induction and intubation difficulties due to micrognathia and glossoptosis. In this case, we facilitated mask ventilation by inserting a nasopharyngeal airway before induction and successfully intubated the patient using a 2-person technique that combined the use of a video laryngoscope and a flexible fiber-optic scope. This experience suggests that the use of appropriate devices can help ensure airway patency and enhance visualization and maneuverability during intubation.

Anesthesia ProgressVol. 71(4)
The University of Osaka (JP)
Openalex Percentile: Top 75%
Craniofacial Disorders and Treatments
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Experience of General Anesthesia for Glossopexy in Infants With Robin Sequence — Hiroharu Maegawa, Chizuko Yokoe, et al. · Anesthesia Progress (2024) | TGRS Research Map | TGRS