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J Craniofac Surg. 2012 Jul;23(4):e299-302. doi: 10.1097/SCS.0b013e318252f314.

Early release of interalveolar synechiae under general anesthesia through fiberscopic nasal intubation.

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  • 1Department of Surgical Sciences, Uppsala University, Uppsala, Sweden.

Abstract

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.

PMID:
22801158
[PubMed - indexed for MEDLINE]
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