Nishiyama T, Misawa K, Hanaoka K
Surgical Center, Institute of Medical Science, University of Tokyo, Tokyo 108-8639.
Masui. 2001 Dec;50(12):1357-9.
For prone position except for neurosurgery or cervical spinal surgery, head and neck are usually turned sideways on the pillow. This position has a risk of injuries to eyes, nose, lips, ears, or facial nerve and inducing neck pain after surgery. We introduce new tools to avoid these complications from prone position. The ProneView consists of a plastic helmet with a window for eyes, nose and mouth, a sponge to fit the face attached to the helmet, and a mirror to watch eyes, nose and lips. The OPTI-GARD is the glasses made by a sponge with a plastic windows to protect eyes. Using the ProneView and the OPTI-GARD together, patient's neck and head can be kept at neutral position with eyes, nose, lips, and ears being kept free from any pressure. In addition, we can check the position of the face easily by mirror. Therefore, the ProneView and the OPTI-GARD must be useful to decrease injuries to eyes, nose, lips, ears, and facial nerve, and neck pain in prone position.
对于除神经外科手术或颈椎手术外的俯卧位,头颈部通常在枕头上向一侧转动。这种体位存在术后眼睛、鼻子、嘴唇、耳朵或面神经受伤以及引发颈部疼痛的风险。我们引入新工具以避免俯卧位带来的这些并发症。俯卧位观察器由一个带有眼睛、鼻子和嘴巴窗口的塑料头盔、一块贴在头盔上贴合面部的海绵以及一面用于观察眼睛、鼻子和嘴唇的镜子组成。OPTI - GARD是一种由带有塑料窗的海绵制成的眼镜,用于保护眼睛。同时使用俯卧位观察器和OPTI - GARD,可以使患者的颈部和头部保持中立位,眼睛、鼻子、嘴唇和耳朵不受任何压迫。此外,我们可以通过镜子轻松检查面部位置。因此,俯卧位观察器和OPTI - GARD对于减少俯卧位时眼睛、鼻子、嘴唇、耳朵及面神经的损伤和颈部疼痛必定是有用的。