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儿童下颌骨牵张成骨术治疗气道阻塞

Distraction osteogenesis of the mandible for airway obstruction in children.

作者信息

Sidman J D, Sampson D, Templeton B

机构信息

Pediatric Ear, Nose and Throat Associates, Minneapolis, Minnesota 55404, USA.

出版信息

Laryngoscope. 2001 Jul;111(7):1137-46. doi: 10.1097/00005537-200107000-00004.

Abstract

OBJECTIVES

Objectives of the study were to determine the effectiveness of distraction osteogenesis of the mandible to relieve airway obstruction in children with tongue-base airway obstruction and to describe the new surgical techniques developed for use in infants and young children.

STUDY DESIGN

Prospective, nonrandomized study.

METHODS

Analysis of 11 children with severe airway obstruction secondary to tongue-base obstruction was performed. Patients were between 2 weeks and 5.5 years of age. All patients underwent distraction osteogenesis of the mandible.

RESULTS

Twelve distraction procedures in the 11 children in the study were accomplished; decannulation or extubation was successful in all children.

CONCLUSION

Distraction osteogenesis of the mandible can be used to treat tongue-base airway obstruction in appropriately selected children.

摘要

目的

本研究的目的是确定下颌骨牵张成骨术缓解舌根气道阻塞患儿气道梗阻的有效性,并描述为婴幼儿开发的新手术技术。

研究设计

前瞻性、非随机研究。

方法

对11例因舌根阻塞导致严重气道梗阻的儿童进行分析。患者年龄在2周至5.5岁之间。所有患者均接受了下颌骨牵张成骨术。

结果

本研究中的11名儿童共完成了12次牵张手术;所有儿童拔管或脱机均成功。

结论

下颌骨牵张成骨术可用于治疗适当选择的儿童舌根气道阻塞。

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