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Bifid epiglottis- A report on surgical technique and perioperative management

机译:双会厌-外科技术和围手术期处理的报告

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ObjectivesBifid epiglottis is a rare laryngeal anomaly that confers an increased risk of aspiration and respiratory compromise. We present the surgical technique and perioperative management of a child with bifid epiglottis and chronic aspiration in the setting of Pallister-Hall Syndrome.Case reportA 2-month-old male presented to the pediatric otolaryngology clinic with dysphagia and congenital anomalies associated with Pallister-Hall syndrome. Flexible laryngoscopy revealed a wide, complete epiglottic cleft. He demonstrated chronic aspiration and significant failure to thrive. The epiglottis was endoscopically reconstructed. The perioperative course of postoperative care is detailed. Follow-up laryngoscopy showed continued integrity of the epiglottis.ConclusionsAspiration associated with bifid epiglottis can be managed successfully with endoscopic techniques. Special consideration must be given toward synchronous airway anomalies, including those secondary to surgical repair.
机译:目的双会厌是一种罕见的喉部畸形,会增加吸入和呼吸系统损害的风险。我们介绍了一名患有双歧会厌和慢性误吸的儿童在Pallister-Hall综合征的情况下的手术技术和围手术期处理。病例报告一名2个月大的男性因小儿吞咽困难和与Pallister-Hall相关的先天性异常被送往儿童耳鼻喉科诊所综合症。挠性喉镜检查发现会厌部宽而完整。他表现出长期的志向,并且significant壮成长。会厌内窥镜重建。详细的围手术期术后护理。喉镜检查显示会厌持续完整。结论与双歧会厌相关的抽吸可通过内窥镜技术成功进行。必须特别注意同步气道异常,包括继发于手术修复的异常。

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