TY  - JOUR
TI  - Perioperative Complications and Concomitant Diseases of Patients Followed in Intensive Care Unit After Cleft Lip-Palate Surgery
AB  - Objective: Patients with cleft lip/palate (CLCP) might need postoperative care in Intensive CareUnit (ICU) due to several reasons like difficult airway management, associated abnormalities andperioperative respiratory complications. Our aim was to evaluate the factors associated with difficult airway and need for postoperative ICU follow-up in patients with CLCP operated in ourinstitution.Method: Patients with CLCP followed up postoperatively in ICU between 2005-2013 were retrospectively reviewed.Results: Twenty patients were included to the study. Ten patients had CLCP, and 10 cases hadisolated cleft palate. Difficult intubation was seen in 8 patients. Difficult mask ventilation wasseen only in one patient with 22q11 deletion. All patients with difficult intubation had micrognathia. Nasal fiberoptic bronchoscopy was more commonly used in patients with difficult intubation. There was a statistically significant relationship between the presence of any systemicdisease and difficult intubation. Main reasons for ICU follow-up were the need for close monitoring and airway related problems.Conclusion: Difficult airway is a frequent problem in patients with CLCP even in the absence of adiagnosed syndrome. Patients with difficult airway or risk of postoperative airway obstructioncould be better followed in ICU during early postoperative period for rapid diagnosis and treatment of possible complications by experienced staff.
AU  - AYYILDIZ, AYŞE
AU  - Akca, Basak
AU  - Uzumcugil, Filiz
AU  - Tümer, Murat
AU  - canbay, ozgur
AU  - Ankay Yilbas, Aysun
DO  - 10.5222/jarss.2021.85856
PY  - 2021
JO  - Anestezi Dergisi
VL  - 29
IS  - 1
SN  - 1300-0578
SP  - 65
EP  - 70
DB  - TRDizin
UR  - http://search/yayin/detay/414784
ER  -