Early Release of Interalveolar Synechiae Under General Anesthesia Through Fiberscopic Nasal Intubation
2012 (English)In: The Journal of craniofacial surgery (Print), ISSN 1049-2275, E-ISSN 1536-3732, Vol. 23, no 4, E299-E302 p.Article in journal (Refereed) Published
This article presents a treatment strategy for early release of interalveolar synechiae, aiming to facilitate early oral feeding and prevent temporomandibular joint ankylosis. The treatment results of 2 patients with van der Woude syndrome were retrospectively studied. Both patients underwent early surgical release of interalveolar synechiae under general anesthesia through fiberscopic nasal intubation. The 2 patients were treated at the ages of 6 and 14 days, respectively. The interincisival distances increased from 5 and 6 mm preoperatively to 11 and 10 mm immediately after surgery. This was increased further to 25 and 20 mm at long-term follow-up (6 and 24 months). In conclusion, synechiae between the upper and lower jaws can be safely treated at a very early age under general anesthesia with fiberscopic nasotracheal intubation. The purpose of early intervention in these cases is to facilitate oral feeding and prevent temporomandibular joint ankylosis.
Place, publisher, year, edition, pages
2012. Vol. 23, no 4, E299-E302 p.
Syngnathia, management, temporomandibular joint ankylosis
Medical and Health Sciences
IdentifiersURN: urn:nbn:se:uu:diva-179932DOI: 10.1097/SCS.0b013e318252f314ISI: 000306710200012OAI: oai:DiVA.org:uu-179932DiVA: diva2:547152