Remacle M, Mustin V, Delaunois L, Van den Eeckhaut J
Service d'O.R.L. et de Chirurgie Cervico-Faciale, Cliniques Universitaires de Mont Godinne, Yvoir-Belgique.
Acta Otorhinolaryngol Belg. 1991;45(4):421-4.
Assisted ventilation at home for breathing insufficiencies requires long-term tracheotomy. Standard tracheotomy is frequently complicated by granuloma and tracheostomy stenosis. We have designed a permanent opening technique that we report on 9 patients. The technique prevents, as far as possible, granuloma and stenosis formation and provides a sufficiently large opening to reduce irritation during tracheotomy tube change. Surgery must be done under general anesthesia. High-dose long-term corticosteroid treatment can induce skin breakdown.
在家中对呼吸功能不全进行辅助通气需要长期气管切开术。标准气管切开术常常并发肉芽肿和气管造口狭窄。我们设计了一种永久性开口技术，现报告9例患者的情况。该技术尽可能防止肉芽肿和狭窄的形成，并提供足够大的开口以减少更换气管切开套管时的刺激。手术必须在全身麻醉下进行。大剂量长期使用皮质类固醇治疗可能导致皮肤破损。
