Surgery and Anesthesia Management for Intraoral Synechia: A Case Report

Document Type : Case Report

Authors

1 Department of Anesthesiology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

2 Cardiac Anesthesia Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

3 Surgical Oncology Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.

4 Neonatal Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.

5 Department of General Surgery, Faculty of Medicine, Mashhad University of Medical Sciences.

Abstract

Introduction:
Intraoral synechia is a rare congenital condition, generally associated with other maxillo-facial malformations. We present a neonate with congenital intraoral bilateral synechia without any other facial anomalies.
 
Case Report:
In this paper, we present a 19-day-old male neonate with congenital intraoral bilateral synechia without any other facial anomalies. We review the literature to discuss the surgical andanesthesia management of this rare congenital disease.
 
Conclusion:
The disease manifested with a wide spectrum of symptoms. Most cases need surgery and airway management. In patients with a low risk of bleeding or a compromised airway, it is possible to manage them withfacemask-inhalation anesthesia and maintain spontaneous breathing.

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References

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Iranian Journal of Otorhinolaryngology
Volume 30, Issue 2
March and April 2018
Pages 117-119

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