Airway Management in Children Undergoing Cleft Lip or Cleft Palate Surgery: An 8‐Year Retrospective Analysis of 274 Cases
Cleft lip and palate significantly complicate airway management, especially in infants with syndromic conditions. It was already known that these children are at higher risk for difficult intubation and respiratory complications. The new findings of this study, analyzing 274 procedures in children under 2 years, found that the hybrid technique (video laryngoscopy combined with flexible bronchoscopy) is highly effective for anticipated difficult airways and highlights the importance of an individualized, stepwise approach to ensure safe anesthesia in cleft surgery. Additionally, the study identified a higher incidence of postextubation stridor, particularly in syndromic patients, pointing to the need for tailored postoperative care.
Authors
- Tobias Golditz (ORCID: https://orcid.org/0000-0003-2888-0604)
- Johannes Feyrer
- Marco Rainer Kesting (ORCID: https://orcid.org/0000-0003-4317-6834)
- Rainer Lutz (ORCID: https://orcid.org/0000-0003-0199-9437)
- Andrea Irouschek (ORCID: https://orcid.org/0000-0003-2420-9602)
- Andreas Moritz (ORCID: https://orcid.org/0000-0003-0321-4971)
- Joachim Schmidt (ORCID: https://orcid.org/0009-0000-3159-652X)
Institutions
- Friedrich-Alexander-Universität Erlangen-Nürnberg (DE)
- Universitätsklinikum Erlangen (DE)
- Comprehensive Cancer Center Erlangen (DE)
Publication Details
- Journal
- Pediatric Anesthesia
- Published
- 2025-08-16
- DOI
- https://doi.org/10.1111/pan.70038
- Primary Topic
- Airway Management and Intubation Techniques
- Type
- article
- Field-Weighted Citation Impact
- 0.00