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.

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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
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article

Airway Management in Children Undergoing Cleft Lip or Cleft Palate Surgery: An 8‐Year Retrospective Analysis of 274 Cases

Tobias Golditz, Johannes Feyrer, Marco Rainer Kesting, Rainer Lutz et al.
Pediatric Anesthesia
Airway Management and Intubation Techniques
article

Airway Management in Children Undergoing Cleft Lip or Cleft Palate Surgery: An 8‐Year Retrospective Analysis of 274 Cases

Tobias Golditz, Johannes Feyrer, Marco Rainer Kesting, Rainer Lutz, Andrea Irouschek, Andreas Moritz, Joachim Schmidt
article en

Abstract

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.

Pediatric AnesthesiaVol. 35(11)
Friedrich-Alexander-Universität Erlangen-Nürnberg (DE), Universitätsklinikum Erlangen (DE), Comprehensive Cancer Center Erlangen (DE)
Good health and well-being
Openalex Percentile: Top 67%
Airway Management and Intubation Techniques
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