Pediatric anesthesia & critical care
Airway Management in Children Undergoing Cleft Lip or Cleft Palate Surgery: An 8‐Year Retrospective Analysis of 274 Cases
Authors' conclusion
Airway management in children undergoing cleft lip or palate surgery presents unique challenges, with an increased incidence of difficult and failed direct laryngoscopy and a significantly higher rate of complications in patients with a syndromic disorder.
Study context
- Population
- Children younger than 2 years undergoing cleft lip or palate surgery at a German university hospital, 2016–2023
- Participants
- 274 cases
- Exposure
- Syndromic vs non-syndromic cleft patients
- Outcome
- Perioperative airway management and complications
Methodological detailssingle-centre
- Single-centre
Main finding
As reported in the abstract
Difficult laryngoscopy
16 cases
6%
Failed direct laryngoscopy, followed by successful video-laryngoscopic intubation
five cases (1.9%)
Primary hybrid technique for expected difficult airway (proven syndromic disorder)
eight cases (2.9%)
Observational data: associations, not effects.
Further findings
Difficult laryngoscopy (subgroup: syndrome association)
Failed direct laryngoscopy (subgroup: syndrome association)
Safety
Airway complications
- Significantly more common in patients with a syndromic disorder: 40.7% vs. 23.5%
- P = 0.049
- φ = 0.12
Original publication
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