advertisement
Abstract #100420 Published in IGR 23-1
Neck Extension and Intraocular Pressure Elevation During Palatoplasty in a Patient with Patau Syndrome and Congenital Glaucoma: A Case Report
Yu J; Kim JY; Lee J; Park JY; Hwang JH; Hwang JH; Oh TS; Jeong WS; Kim YKThe Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association 2022; 0: 10556656221097209
Patau syndrome (trisomy 13) is a severe disorder associated with multiple systemic defects. Patau syndrome is commonly associated with ocular abnormalities but rarely associated with congenital glaucoma. To obtain a better surgical view, palatoplasty requires neck extension during surgery. The intraocular pressure (IOP) of patients with Patau syndrome can increase owing to the neck extension position while undergoing palatoplasty, particularly in those with congenital glaucoma. Here, we describe a case with increased IOP measured using a rebound tonometer during palatoplasty in a pediatric patient with Patau syndrome and congenital glaucoma. This case shows that it may be important to reduce the degree of neck extension and shorten the operation time to minimize any increase in the IOP during palatoplasty in pediatric patients with Patau syndrome accompanied by congenital glaucoma.
Department of Anesthesiology and Pain Medicine, 65526Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.
Full article