Endoscopic surgery under tubeless anesthesia and spontaneous breathing for a congenital laryngeal web in an infant: A case report

IF 1.3 4区 医学 Q3 PEDIATRICS Congenital Anomalies Pub Date : 2023-03-14 DOI:10.1111/cga.12511
Michele Gaffuri, Ludovica Battilocchi, Domenico di Furia, Simona Neri, Giovanna Cantarella, Lorenzo Pignataro
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Abstract

Congenital laryngeal webs are rare and are defined as thick epithelium-covered fibrous tissue lying between the vocal folds; the anterior glottis is the most common site of involvement, with possible extension to the subglottic region. The association with chromosome 22q11.2 deletion syndrome has also been reported. Symptoms have been abnormal or absent crying and airway obstruction since birth. Management strategies range from endoscopic division using cold instruments to open surgery for severe webbing. In endoscopic surgery, the need for tubeless anesthesia and spontaneous breathing is fundamental for obtaining the best surgical outcome. Here, we describe the case of a 4-month-old female patient affected by a type II glottic web according to Cohen, who was treated by simple endoscopic division in spontaneous breathing.

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无管麻醉和自主呼吸下的内窥镜手术治疗婴儿先天性喉网1例报告
先天性喉网是罕见的,定义为厚上皮覆盖的纤维组织位于声带之间;声门前是最常见的受累部位,可能延伸到声门下区域。与染色体22q11.2缺失综合征的关联也有报道。自出生以来,症状为异常或不存在哭闹和气道阻塞。管理策略范围从使用冷器械的内窥镜分割到严重织带的开放手术。在内镜手术中,需要无管麻醉和自主呼吸是获得最佳手术效果的基础。在这里,我们描述了一个4个月大的女性患者受II型声门网的影响,根据科恩,谁是在自然呼吸的简单内镜分割治疗。
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来源期刊
Congenital Anomalies
Congenital Anomalies PEDIATRICS-
自引率
0.00%
发文量
49
审稿时长
>12 weeks
期刊介绍: Congenital Anomalies is the official English language journal of the Japanese Teratology Society, and publishes original articles in laboratory as well as clinical research in all areas of abnormal development and related fields, from all over the world. Although contributions by members of the teratology societies affiliated with The International Federation of Teratology Societies are given priority, contributions from non-members are welcomed.
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