Full Mouth Dental Restoration on a Treacher-Collins Patient Without Intubation

Patients with Treacher Collins syndrome have a known difficult airway particularly if intubation is required. In most institutions that perform full mouth dental restoration (FMDR) procedures the patient is nasally intubated to protect the airway from debris and irrigation fluid. For patients with T...

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Bibliographic Details
Published inAANA journal Vol. 91; no. 1; pp. 55 - 60
Main Author Orr, Robert W
Format Journal Article
LanguageEnglish
Published United States AANA Publishing, Inc 01.02.2023
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Summary:Patients with Treacher Collins syndrome have a known difficult airway particularly if intubation is required. In most institutions that perform full mouth dental restoration (FMDR) procedures the patient is nasally intubated to protect the airway from debris and irrigation fluid. For patients with Treacher Collins syndrome the actual intubation and securing the airway can be more difficult and traumatic than the actual dental restoration itself. However, there is an airway technique using nasopharyngeal airways combined with a dental technique called "dry prepping" that can provide those patients a safe way of receiving an FMDR without intubation. A recent case report of a 29-month-old child with Treacher Collins syndrome received an FMDR without intubation.
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ISSN:0094-6354
2162-5239