儿童巨大下颌骨牙源性肌瘤的麻醉处理--病例报告。

Koovakattil Akhil Kuttan, Sri Rama Ananta Nagabhushanam Padala, Anagha P Vinay, Kuruba Aravind, Molli Kiran
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引用次数: 0

摘要

在儿科人群中,口面部可出现许多肿瘤性病变。牙源性肿瘤对下颌骨的影响通常大于上颌骨。由于解剖结构的扭曲和生理上的差异,小儿口腔肿瘤的气道管理具有挑战性。由于儿科患者的配合度有限,传统的清醒纤支镜插管并不总是可行。在此,我们报告了一例患有下颌骨牙源性肌瘤的 1 岁儿童的病例,该患儿的气道预计会很困难。鉴于预计气道会出现困难,我们安排在全身麻醉下进行视频喉镜辅助气管插管,并维持自主呼吸。正确的计划和全面的检查对成功处理儿科患者的气道至关重要。
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Anesthetic management of a large mandibular odontogenic myxoma in a child - a case report.

Numerous neoplastic lesions can arise in the orofacial region in the pediatric populations. Odontogenic tumors typically affect the mandible more than the maxilla. Airway management can be challenging in pediatric oral tumors because of the distorted anatomy and physiological variations. Conventional awake fiberoptic intubation is not always possible owing to limited cooperation from the pediatric populations. Herein, we report the case of a 1-year-old child with odontogenic myxoma of the mandible and an anticipated difficult airway. Given the expected difficulties in the airway, video laryngoscope-assisted orotracheal intubation under general anesthesia with maintenance of spontaneous breathing was scheduled. Proper planning and thorough examinations are vital for successful airway management in pediatric patients.

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