• Int. J. Pediatr. Otorhinolaryngol. · Mar 2011

    Case Reports

    Cranial conjoined twins: surgical and anesthetic challenges for a routine procedure: adenoidectomy and examination of ears.

    • Frederick K Kozak, Marcela Fandiño, Luthiana F Carpes, Kawshala Peiris, Stephan Malherbe, and Robert Purdy.
    • Division of Pediatric Otolaryngology, BC Children's Hospital, Vancouver, Canada. fkozak@cw.bc.ca
    • Int. J. Pediatr. Otorhinolaryngol. 2011 Mar 1; 75 (3): 444-7.

    AbstractCraniopagus conjoined twins have long been the subject of interest because of the rarity and peculiarity of their juxtaposition. We present the surgical, airway and anesthetic challenges in craniopagus conjoined twins, in which one of the twins underwent adenoidectomy for obstructive sleep breathing disorder. The surgical procedure required a special setting from an anesthetic perspective whereby both children needed anesthesia due to the complex physiology of their brains and cardiovascular systems. As well, we took the opportunity to do bilateral ear examinations of both twins.Copyright © 2010 Elsevier Ireland Ltd. All rights reserved.

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