Pediatric Otorhinolaryngology Japan
Online ISSN : 2186-5957
Print ISSN : 0919-5858
ISSN-L : 0919-5858
Airway Management in Children with Midface Hypoplasia -A Report of Two Cases
Noriko MorimotoNobuko KawashiroHidenobu TaijiYoichi Kondo
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2004 Volume 25 Issue 1 Pages 41-45

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Abstract
Children with Cranio-facial anomalies frequently show upper airway obstruction with a wide variety of symptoms, ranging clinically from mild nasal obstruction to severe respiratory distress. Case 1 was a 2 m/o boy with Hallermann-Streiff syndrome who had developed and suffered from feeding difficulty and obstructive sleep apnea for a month. Endoscopic findings showed bilateral nasal stenosis and macroglossia with mandibular dysostosis caused his respiratory dysfunction. Case 2 was a 3 m/o girl with Crouzon syndrome. We found nasal cavity and nasopharyngeal stenosis due to midface retrusion synchronized with respiration.
Stenting technique on nasopharyngeal airway relieved the respiratory embarrassment in both cases.
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© Japan Society for Pediatric ORL
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