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Anesthesia for Plastic Surgery in Children

  • Rohan MahendranEmail author
Chapter

Abstract

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.

Keywords

Anesthesia for cleft lip palate surgery Craniosynostosis Anesthesia Pharyngoplasty Nasal intubation Cleft palate surgery Airway 

Further Reading

  1. Abbott M. Cleft lip and palate. Ped Rev. 2014;35:177–80. A short medical review of the condition and associated problems.CrossRefGoogle Scholar
  2. Basta MN, et al. Predicting adverse perioperative events in patients undergoing primary cleft palate repair. Cleft Palate Craniofac J. 2018;55:574–81.CrossRefGoogle Scholar
  3. Gangopadhyay N, Mendonca DA, Woo AS. Pierre Robin sequence. Semin Plast Surg. 2012;26:76–82.CrossRefGoogle Scholar
  4. Nargozian C. The airway in patients with craniofacial abnormalities. Pediatr Anesth. 2004;14:53–9. A synopsis of the different syndromes and their airway anomalies.CrossRefGoogle Scholar
  5. Thomas K, et al. Anesthesia for surgery related to craniosynostosis: a review. Part 1. Pediatr Anesth. 2012;22:1033–41.CrossRefGoogle Scholar
  6. Thomas K, et al. Anesthesia for surgery related to craniosynostosis: a review. Part 2. Pediatr Anesth. 2013;23:22–7. A review of craniosynostosis and the operations to correct this.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.Department of Anaesthesia and Pain ManagementPerth Children’s HospitalNedlandsAustralia

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