General anesthesia for a patient with deletion 6q syndrome in addition to laryngomalacia undergoing dental treatment.

Abstract:

:Chromosome 6 deletions are very rare (1,2), and deletion 6q syndrome is clinically characterized by mental and/or neuromotor retardation and microcephaly (3). Other alterations frequently observed are decreased biparietal diameter, hypertelorism, hypotelorism, absent eyebrows, prominent eyes with ptosis, receding chin, dysmorphic ears, large extremities, prominent nasal bridge, long philtrum, epicthus, strabismus, and micrognathia (3-5). Laryngomalacia is the most common congenital laryngeal anomaly and the most frequent cause of stridor in infants (6-11). We report the case of a 14-year-old male patient with both deletion 6q syndrome and laryngomalacia, who we treated for multiple dental caries. He had a medical history of tracheotomy at age 11 years for laryngomalacia, and has suffered from epileptic attacks and aspiration pneumonia over the last 2 and 6 years, respectively. Since he was mentally retarded and in a poor respiratory state, dental treatment under general anesthesia was scheduled in our hospital. General anesthesia was induced and maintained using 30% nitrous oxide and 1-3% sevoflurane in oxygen through the tracheotomy tube. Pre- and intraoperative endotracheal suction improved the condition of both lungs markedly and the procedures were uneventful and completed in 2 h and 58 min.

journal_name

J Oral Sci

journal_title

Journal of oral science

authors

Fujii-Abe K,Sasao M,Fukayama H

doi

10.2334/josnusd.50.493

subject

Has Abstract

pub_date

2008-12-01 00:00:00

pages

493-5

issue

4

eissn

1343-4934

issn

1880-4926

pii

JST.JSTAGE/josnusd/50.493

journal_volume

50

pub_type

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