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The Difficult Route to Glottis in Cleft Patients Simplified
Shyam Bose1, Gunjan Dube1, Radhika Shrivastava1
1Dube Surgical and Dental Hospital, Near Ghamapur Chowk, Jabalpur, MP 482003 India.
Journal of Maxillofacial and Oral Surgery
|August 3, 2019
Summary
A novel palatal obturator technique improves direct laryngoscopy for children with cleft lip and palate. This method provides better laryngoscope blade leverage, aiding glottis visualization and airway management in these complex cases.
Area of Science:
- Craniofacial anomalies
- Pediatric airway management
- Otolaryngology
Background:
- Cleft lip with or without palate is a common craniofacial anomaly.
- Airway issues in children with cleft lip and palate are a long-recognized challenge.
Purpose of the Study:
- To describe a unique technique for direct laryngoscopy in children with cleft lip and palate.
- To utilize a palatal obturator to manage alveolar and palatal defects during laryngoscopy.
Main Methods:
- Fabrication of a custom palatal obturator using cold cure acrylic.
- Impression of the palatal defect using putty-type material for obturator fabrication.
Main Results:
- The palatal obturator facilitated laryngoscope blade placement by providing leverage.
- Improved visualization of the glottis during direct laryngoscopy was achieved.
Conclusions:
- Alveolar and palatal defects in cleft lip and palate patients hinder laryngoscope leverage.
- A palatal obturator can overcome these anatomical challenges, enhancing glottis visualization.
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