Browse > Article
http://dx.doi.org/10.5933/JKAPD.2014.41.1.40

Usefulness of Mouth Guard when the Endotracheal Intubation Is Indicated for Treacher Collins Syndrome Patient  

Choi, Haein (Department of Pediatric Dentistry, College of Dentistry, Yonsei University)
Choi, Byungjai (Department of Pediatric Dentistry, College of Dentistry, Yonsei University)
Choi, Hyungjun (Department of Pediatric Dentistry, College of Dentistry, Yonsei University)
Song, Jeseon (Department of Pediatric Dentistry, College of Dentistry, Yonsei University)
Lee, Jaeho (Department of Pediatric Dentistry, College of Dentistry, Yonsei University)
Publication Information
Journal of the korean academy of Pediatric Dentistry / v.41, no.1, 2014 , pp. 40-46 More about this Journal
Abstract
Treacher Collins syndrome (TCS) is autosomal dominant disorder that occurs approximately 1 in 25,000 to 50,000 live births. The main signs of syndrome are hypoplasia of facial bone and microtia. One in third of them is associated with cleft palate and often shows dental hypoplasia. TCS patients need several number of surgery with general anesthesia throughout their life time for recovery of function and esthetic. Endotracheal intubation of TCS patient is very difficult due to microstomia, retrognathia, choanal stenosis, and decreased oropharyngeal airway. Therefore, general anesthesia of adolescent TCS patient with immature incisor roots has high risk of causing dental trauma. This case is regarding TCS patient who was referred to the Department of Pediatric Dentistry, Yonsei University for avulsed upper left central incisor during endotracheal intubation. The purpose of this report is to emphasize the usefulness of mouth guard to prevent dental trauma when endotracheal intubation is needed for TCS patient.
Keywords
Treacher Collins syndrome (TCS); Endotracheal intubation; Mouth guard;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Franceschetti A, Klein D: The mandibulofacial dysostosis; a new hereditary syndrome. Acta Ophthalmol (Copenh), 27:143-224, 1949.
2 Walker MB, Trainor PA: Craniofacial malformations: intrinsic vs extrinsic neural crest cell defects in Treacher Collins and 22q11 deletion syndromes. Clin Genet, 69:471-479, 2006.   DOI   ScienceOn
3 Winokur ST, Shiang R: The Treacher Collins syndrome (TCOF1) gene product, treacle, is targeted to the nucleolus by signals in its C-terminus. Hum Mol Genet, 7:1947-1952, 1998.   DOI   ScienceOn
4 Pereira DC, Bussamra LC, Araujo Junior E, et al.: Prenatal diagnosis of treacher-collins syndrome using three-dimensional ultrasonography and differential diagnosis with other acrofacial dysostosis syndromes. Case Rep Obstet Gynecol, Available from URL: http://www.hindawi.com/crim/obgyn/2013/203976/ (Assessd on October 25, 2013)
5 Marszalek B, Wojcicki P, Kobus K, Trzeciak WH: Clinical features, treatment and genetic background of Treacher Collins syndrome. J Appl Genet, 43:223-233, 2002.
6 de Oliveira Lira Ortega A, Liarte Figueiredo Zwir LM, Ciamponi AL, et al.: Radiological findings and dynamic aspects of stomatognathic structures in Treacher Collins syndrome: clinical case report. Cleft Palate Craniofac J, 44:678-682, 2007.   DOI   ScienceOn
7 da Silva Dalben G, Teixeira das Neves L, Ribeiro Gomide M: Oral health status of children with treacher Collins syndrome. Spec Care Dentist, 26:71-75, 2006.   DOI   ScienceOn
8 Peterson-Falzone S, Pruzansky S: Cleft palate and congenital palatopharyngeal incompetency in mandibulofacial dysostosis: frequency and problems in treatment. Cleft Palate J, 13:354-360, 1976.
9 Guerrero CA, Bell WH, Contasti GI, Rodriguez AM: Mandibular widening by intraoral distraction osteogenesis. Br J Oral Maxillofac Surg, 35:383-392,1997.   DOI   ScienceOn
10 Kobus K, Wojcicki P: Surgical treatment of Treacher Collins syndrome. Ann Plast Surg, 56:549-554,2006.   DOI   ScienceOn
11 Gaudio RM, Feltracco P, Barbieri S, et al.: Traumatic dental injuries during anaesthesia: part I: clinical evaluation. Dent Traumatol, 26:459-465, 2010.   DOI   ScienceOn
12 Chidyllo SA, Zukaitis JA: Dental examinations prior to elective surgery under anesthesia. N Y State Dent J, 56:69-70, 1990.
13 Warner ME, Benenfeld SM, Warner MA, et al.: Perianesthetic dental injuries: frequency, outcomes, and risk factors. Anesthesiology, 90:1302-1305,1999.   DOI   ScienceOn
14 Ueda N, Kirita T, Imai Y, et al.: Dental injury associated with general anesthesia and the preventive measures. Masui, 59:597-603, 2010.
15 Nakahashi K, Yamamoto K, Tsuzuki M, et al.: Effect of teeth protector on dental injuries during general anesthesia. Masui, 52:26-31, 2003.
16 Monaca E, Fock N, Doehn M, Wappler F: The effectiveness of preformed tooth protectors during endotracheal intubation: an upper jaw model. Anesth Analg, 105:1326-1332, 2007.   DOI   ScienceOn
17 da Silva Dalben G, Costa B, Gomide MR: Prevalence of dental anomalies, ectopic eruption and associated oral malformations in subjects with Treacher Collins syndrome. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 101:588-592, 2006.   DOI   ScienceOn