Anaesthesia Management of a Phenytoin Induced Gingival Overgrowth (PIGO) Using Video Laryngoscope in a Paediatric Patient with Cerebral Palsy: Case Report
Anaesthesia Management of a Phenytoin Induced Gingival Overgrowth (PIGO) Using Video Laryngoscope in a Paediatric Patient with Cerebral Palsy: Case Report
Meera Pandey,Vrushali S. Malegaonkar,Namita N. Davange
TLDR
It is reported successful management of a child posted for gingivectomy under general anaesthesia, which is a drug induced type of gum hyperplasia, usually seen in patient’s with epileptic disorder on Phenytoin.
Abstract
Phenytoin induced gingival overgrowth is a drug induced type of gum hyperplasia, usually seen in patient’s with epileptic disorder on Phenytoin. It is estimated that about 30 to 50% of patients taking phenytoin develop significant gingival alterations either localised or generalized² within 6 months of therapy. It causes difficulties in swallowing, speech and mastication, delayed dentition and recurrent infections. Delayed milestones, paediatric age group and fragile gingival tissue all pose challenge to anaesthesiologist. We report successful management of a child posted for gingivectomy under general anaesthesia.
Keywords: Phenytoin Induced Gum Overgrowth (PIGO), Gingival overgrowth, Videolaryngoscope, Difficult airway, Paediatric age group