Anasthetic management of congenital fusion of the jaws in a neonate

• DOI: 10.1111/j.1365-2044.1984.tb06479.x
• Publication Date: 2007-03-22T12:54:53Z
• Authors: M. A. SERAJ; M. YOUSIF; A. B. CHANNA
• Keywords: Infant, Newborn; Anesthesia, General; Cleft Palate; 03 medical and health sciences; 0302 clinical medicine; Jaw Abnormalities; Intubation, Intratracheal; Humans; Abnormalities, Multiple; Female

Summary Fusion of the jaws in neonate is a very rare congential anomaly which may be associated with other congenital defects such as aglossia, facial hemiatrophy or retrognathia. Ventilatory management for surgical separation fused presents severe problems. In recent case almost completely requiring general anasthesia, we used subanasthetic doses ketamine combination un insufflation technique. It took 45 minutes to reach stage anasthesia due misplacement nasotracheal tube through an unsuspected cleft palate towards gap between jaws, previously unreported complications.