Cleft lip and palate is the most common craniofacial disorder in children, and its repair can be associated with a variety of airway issues. Surgical closure of the palate reduces the size of the upper airway. Opioid analgesia is usually required after surgery, and respiratory problems are common. Airway problems during and after cleft palate repair become even more important when there is an underlying syndrome affecting the airway, such as Robin sequence. Children who have had a cleft palate may have many surgeries over their childhood, each of which has unique issues for the pediatric anesthetist. Other children may have craniosynostosis, which may require cranial vault reconstruction with the potential for blood loss equivalent to one or two blood volumes.
Anesthesia for cleft lip palate surgery Craniosynostosis Anesthesia Pharyngoplasty Nasal intubation Cleft palate surgery Airway
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