| Perioperative airway complications following pharyngeal flap palatoplasty. | |
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MedLine Citation:
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PMID: 11007081 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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This study was performed to determine the incidence and types of perioperative airway complications after pharyngeal flap palatoplasty. We conducted a retrospective chart review of 88 patients who underwent correction of velopharyngeal insufficiency between April 30, 1983, and April 30, 1997, in a tertiary care hospital. Some degree of airway obstruction developed in 7 patients. One child developed laryngobronchospasm and required immediate endotracheal intubation. He was successfully extubated without sequelae. Another patient developed severe obstructive sleep apnea and required flap revision. A third patient was found asystolic and apneic. She was immediately intubated; however, she subsequently died. Two patients aspirated blood, presumably resulting in pneumonia. They were managed with parenteral antibiotics. Another child developed worsening sleep apnea and required flap revision. One patient developed nasal obstruction that resolved with time. Airway compromise in patients who undergo pharyngeal flap palatoplasty can be a potentially fatal complication. Careful surveillance should be maintained over patients with underlying neurologic, craniofacial, or cardiopulmonary disorders. |
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Authors:
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M Peña; S Choi; M Boyajian; G Zalzal |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Annals of otology, rhinology, and laryngology Volume: 109 ISSN: 0003-4894 ISO Abbreviation: Ann. Otol. Rhinol. Laryngol. Publication Date: 2000 Sep |
Date Detail:
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Created Date: 2000-10-17 Completed Date: 2000-10-17 Revised Date: 2006-05-15 |
Medline Journal Info:
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Nlm Unique ID: 0407300 Medline TA: Ann Otol Rhinol Laryngol Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 808-11 Citation Subset: AIM; IM |
Affiliation:
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Department of Otolaryngology, Children's National Medical Center, Washington, DC 20010-2970, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Airway Obstruction / diagnosis, epidemiology Child Child, Preschool Cleft Palate / surgery* Female Humans Infant Male Nasal Obstruction / diagnosis, epidemiology Palate, Soft / transplantation* Pharynx / surgery* Postoperative Complications / diagnosis* Reoperation Retrospective Studies Sleep Apnea, Obstructive / diagnosis*, epidemiology Surgical Flaps* Velopharyngeal Insufficiency / diagnosis* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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