Document Detail


Airway evaluation of conjoined twins.
MedLine Citation:
PMID:  15697157     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Case reports in the literature on conjoined twins discuss the difficulties with anesthesia and surgical separation; however, the role of airway endoscopy as a means of evaluating the respiratory tract has not been described. This case of thoraco-omphaloischiopagus laterally conjoined twins demonstrates the importance of videoendoscopic airway evaluation in the management of conjoined twins. Direct laryngoscopy and bronchoscopy was used to evaluate ventilator dependence and demonstrated tracheal anomalies that were partially responsible for difficulties with weaning and endotracheal tube placement. Knowledge of the airway anomalies assisted in ventilator management of the twins, and the neonatalogists were able to proceed with greater confidence because no surgically correctable airway obstruction was found. Direct laryngoscopy and bronchoscopy offer valuable information about thoracopagus conjoined twins and should be included in the preoperative evaluation of planned separation of conjoined twins, as well as being used for conjoined twins who are ventilator-dependent.
Authors:
Ali Strocker; Reason Ford; Swati Patel; Ihab Ayad; Nina Shapiro
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Annals of otology, rhinology, and laryngology     Volume:  114     ISSN:  0003-4894     ISO Abbreviation:  Ann. Otol. Rhinol. Laryngol.     Publication Date:  2005 Jan 
Date Detail:
Created Date:  2005-02-08     Completed Date:  2005-02-25     Revised Date:  2006-05-15    
Medline Journal Info:
Nlm Unique ID:  0407300     Medline TA:  Ann Otol Rhinol Laryngol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  15-8     Citation Subset:  AIM; IM    
Affiliation:
Department of Surgery, Division of Head and Neck Surgery, University of California Los Angeles Medical School, Los Angeles, California 90095-1624, USA.
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MeSH Terms
Descriptor/Qualifier:
Bronchi / pathology
Bronchoscopy*
Humans
Infant
Laryngoscopy*
Laryngostenosis / pathology
Male
Trachea / abnormalities*
Tracheal Stenosis / pathology*
Twins, Conjoined*
Video Recording
Vocal Cords / pathology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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