Bifid epiglottis- A report on surgical technique and perioperative management
| Autor: | Nicklas C. Orobello, Sivakumar Chinnadurai |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Surgical repair
Epiglottis medicine.medical_specialty medicine.diagnostic_test business.industry Laryngoscopy Perioperative lcsh:Otorhinolaryngology lcsh:RF1-547 Dysphagia Surgery 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure Otorhinolaryngology Bifid epiglottis 030220 oncology & carcinogenesis Failure to thrive medicine medicine.symptom 030223 otorhinolaryngology Airway business |
| Zdroj: | Otolaryngology Case Reports, Vol 11, Iss, Pp-(2019) |
| ISSN: | 2468-5488 |
| DOI: | 10.1016/j.xocr.2019.100115 |
| Popis: | Objectives: Bifid 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 report: A 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. Conclusions: Aspiration 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. Keywords: Bifid epiglottis, Pallister-Hall syndrome, Aspiration, Laryngoplasty |
| Databáze: | OpenAIRE |
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