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Review Papers | Anaesthesiology | India | Volume 12 Issue 12, December 2023 | Rating: 5.9 / 10
Enhancing Airway Strategies in Treacher Collins Syndrome Infants during Primary Facial Cleft Closure
Sai Rohit Madhavaram | Gattu Vijayalaxmi [2]
Abstract: Treacher Collins Syndrome (TCS) is a rare congenital disorder characterized by craniofacial anomalies, affecting the development of facial structures. Infants with TCS undergoing primary facial cleft closure often present unique challenges in airway management due to anatomical variations and potential respiratory complications. This study aims to explore and optimize strategies for airway management in this specific population to enhance perioperative safety and overall patient outcomesThe retrospective analysis encompasses a cohort of infants with TCS who underwent primary facial cleft closure procedures between [start date] and [end date]. Clinical records, including preoperative assessments, intraoperative details, and postoperative outcomes, were reviewed to identify patterns, challenges, and successes in airway management. Preliminary findings indicate that a subset of infants with TCS exhibit anatomical anomalies that can complicate intubation and ventilation during surgery. Factors such as micrognathia, retrognathia, and midface hypoplasia may contribute to increased difficulty in maintaining a secure airway. Moreover, preexisting respiratory concerns in this population may necessitate a nuanced approach to perioperative care. To optimize airway management in these cases, this study proposes a multidisciplinary approach involving collaboration between craniofacial surgeons, anesthesiologists, and pediatric pulmonologists. Customized airway evaluation protocols, preoperative planning, and the incorporation of advanced airway devices tailored to the unique anatomy of infants with TCS will be explored. Additionally, the role of perioperative respiratory support strategies, such as high-flow nasal cannula and continuous positive airway pressure, will be investigated to minimize postoperative respiratory complications. This research contributes to the growing body of literature on perioperative care for individuals with craniofacial syndromes, emphasizing the importance of tailored approaches to airway management in infants with TCS undergoing primary facial cleft closure. The ultimate goal is to enhance the safety and efficacy of these procedures, thereby improving overall patient outcomes and quality of life for this vulnerable population. Future prospective studies and collaborative efforts are warranted to validate the proposed strategies and establish evidence-based guidelines for optimizing airway management in this specific clinical context.
Keywords: Treacher Collins Syndrome, Infants, Facial Cleft Closure, Primary Surgery, Pediatric Airway, Craniofacial Abnormalities
Edition: Volume 12 Issue 12, December 2023,
Pages: 572 - 574