[Anesthesia Management for Primary Cleft Lip Closure in an XXXX with Congenital Total Length Complete Tracheal Rings].

@entity1 @entity825 @entity1347 @entity6184 @entity9933 @entity8276
Complete @entity8276 causes @entity9933 in neonates and @entity1 . We have to prevent further @entity6184 in perioperative period. This is a case report of an @entity1 with @entity9933 due to complete @entity8276 who underwent primary cleft lip closure under general anesthesia. An 8 month-old @entity1 was scheduled for bilateral cleft lip closure. His first operation at two months was canceled because of unsuccessful intubation in previous hospital. He came to our hospital to seek a second opinion. His CT scan showed @entity1347 of the @entity825 below glottis. The tracheobronchial endoscopy showed complete tracheal rings 1.5 cm below glottis to the bifurcation. Considering his aspiration episode, we decided to do the cleft lip closure promptly after examinations. We chose an ID 3.0 mm RAE tracheal tube, which is commercially narrowest We intubated 2 cm below glottis, and confirmed that the tip did not touch narrowed @entity825 with endoscope. This tube was fixed in the center of the mandible and packed with gauze. He was discharged on 8 POD without complication. CT scan and its integrated 3 D image of the @entity825 were useful to understand the approximate structure. However endoscopic examination allowed more detailed structure-measurement below glottis.
