Potter Jason K, Finn Richard, Cillo Joseph
Oral and Maxillofacial Surgery, University of Texas Southwestern Medical Center, Dallas, TX 75235-9109, USA.
J Oral Maxillofac Surg. 2004 Jul;62(7):829-33. doi: 10.1016/j.joms.2003.12.022.
The study goal was to retrospectively review the effectiveness of a modified tumescent technique to provide anesthesia for facial laser resurfacing in an office-based setting.
The charts of 54 consecutive patients treated with facial laser resurfacing at a large outpatient clinic were retrospectively reviewed for type of intravenous sedation/analgesia, adequacy of anesthesia, complications, and discharge criteria. All patients were treated with a modified tumescent technique with or without intravenous sedation.
All patients tolerated the procedure extremely well. There were no anesthesia-related complications regarding loss of airway/airway obstruction, desaturation, or prolonged recovery periods. Several patients tolerated the procedure comfortably without intravenous sedation/analgesia.
The modified tumescent technique is a valuable method to provide patient comfort during facial laser resurfacing while reducing the risk for anesthesia-related complications.
本研究的目标是回顾性评估一种改良肿胀技术在门诊环境下为面部激光换肤术提供麻醉的有效性。
回顾性分析一家大型门诊连续54例行面部激光换肤术患者的病历，内容包括静脉镇静/镇痛类型、麻醉效果、并发症及出院标准。所有患者均采用改良肿胀技术，部分患者联合静脉镇静。
所有患者对手术耐受良好。未发生与麻醉相关的气道丧失/气道梗阻、血氧饱和度降低或恢复时间延长等并发症。部分患者无需静脉镇静/镇痛即可舒适地耐受手术。
改良肿胀技术是一种在面部激光换肤术中提高患者舒适度并降低麻醉相关并发症风险的有效方法。
