Full Text (PDF)
Case Report

Case of Cleft Palate and Hyperthyroidism for Abdominal Hysterectomy

Ravi Madhusudana, Varsha Kuntala, Shreya CH, Janani Priya

Author Information

Licence:

Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.


Indian Journal of Anesthesia and Analgesia 13(3):p 151-153, July-September 2026. | DOI: https://doi.org/10.21088/ijaa.2349.8471.13326.7

How Cite This Article:

Varsha Kuntala, Ravi Madhusudhana, Shreya CH et. al, Case of Cleft palate and hyperthyroidism for Abdominal Hysterectomy. Ind J Anesth Analg. 2026; 13(3): 151-153.

Timeline

Received : May 05, 2026         Accepted : June 12, 2026          Published : September 25, 2026

Abstract

Access of airway can pose a problem with cleft palate. Patient was hyperthyroid also on medications posted for Abdominal hysterectomy. Her T4 was high, anxious and with tachycardia. Planned for General anaesthesia with Endotracheal intubation. Premedicated with Inj Glycopyrrolate, Inj Midazolam, Inj Fentanyl; induced with Inj Propofol and Intubated with Inj Suxamethonium with Video Laryngoscope. Intraoperative tachycardia was treated with Ing Lignocaine and Extubated uneventfully after reversing neuromuscular blockade. Proper planning for airway management and treating hyperthyroidism for our patient with cleft palate and hyperthyroidism turned out with a successful anaesthesia management.


References

  • 1.   David J. Steward. Anesthesia for patients with cleft lip and palate. SAPM 2007;26:126-32.
  • 2.   Sahoo SR. An incidental finding of untreated cleft palate in an adult. Int J Otorhinolaryngol Head Neck Surg2025;11:607-8.
  • 3.   Murthy J. Management of cleft lip and palate in adults. Indian J Plast Surg. 2009;42:S116-22.
  • 4.   Maskoen AM, Nasroen SL, Fauziah PN, Soemantri ES, Gani BA. Expression of transforming growth factor alpha Bamhi and Rsai gene variants associated with nonsyndromic cleft palate of Indonesian subjects using polymerase chain reaction method. Asian J Pharm Clin Res 2018;11:351-4.
  • 5.   Law RC, de Klerk C. Anaesthesia for Cleft and Palate Surgery. UK: Update in Anaesthesia; 2002.
  • 6.   Farling P. A. Thyroid disease. British Journal of Anaesthesia. 2000;85(1):15–28.
  • 7.   Donangelo I., Braunstein G. D. Update on subclinical hyperthyroidism. American Family Physician. 2011;83(8):933–938.
  • 8.   Woeber K. A. Thyrotoxicosis and the heart. The New England Journal of Medicine. 1992; 327(2):94–98.

Data Sharing Statement

There are no additional data available. All raw data and code are available upon request.

Funding

This research received no funding.

Author Contributions

All authors contributed significantly to the work and approve its publication.

Ethics Declaration

This article does not involve any human or animal subjects, and therefore does not require ethics approval.

Acknowledgements

We would like to express our gratitude to the patients, their families, and all those who have contributed to this study.

Conflicts of Interest

No conflicts of interest in this work.


About this article


Cite this article

Varsha Kuntala, Ravi Madhusudhana, Shreya CH et. al, Case of Cleft palate and hyperthyroidism for Abdominal Hysterectomy. Ind J Anesth Analg. 2026; 13(3): 151-153.


Licence:

Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.


Received Accepted Published
May 05, 2026 June 12, 2026 September 25, 2026

DOI: https://doi.org/10.21088/ijaa.2349.8471.13326.7

Keywords

Anaesthesia ManagementCleft PalateHyperthyroidismHysterectomy

Article Level Metrics

Last Updated

Saturday 12 September 2026, 10:28:39 (IST)


9113

Accesses

3
825
00

Citations


NA
NA
NA

Download citation


Article Keywords


Keyword Highlighting

Highlight selected keywords in the article text.


Timeline


Received May 05, 2026
Accepted June 12, 2026
Published September 25, 2026

licence


Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.


Access this article



Share