Aris A M, Elegbe E O, Krishna R
Department of Anaesthesiology, Faculty of Medicine, University Kebangsaan Malaysia, Kuala Lumpur.
Singapore Med J. 1992 Apr;33(2):204-5.
Intubation was difficult and traumatic in a 40-year-old patient presented for emergency oesophagoscopy because the diagnosis of stylohyoid ligament calcification was not suspected. High probability of stylohyoid ligament calcification should be suspected when there is difficulty in lifting the epiglottis and fibre-optic laryngoscopy is suggested as the best way to tackle this problem to prevent trauma and possible risk of regurgitation and aspiration especially in emergency situation.
一名40岁患者因急诊食管镜检查前来就诊,插管过程困难且有创伤,原因是未怀疑到茎突舌骨韧带钙化的诊断。当难以抬起会厌时,应怀疑茎突舌骨韧带钙化的可能性很大,建议使用纤维喉镜作为解决此问题的最佳方法,以防止创伤以及反流和误吸的潜在风险,尤其是在紧急情况下。