Bozdogan N, Sener M, Yavuz H, Yilmazer C, Turkoz A, Arslan G
Department of Anesthesiology and Reanimation, Baskent University Faculty of Medicine, Ankara, Turkey.
B-ENT. 2008;4(3):179-81.
Nasal intubation is used often by anaesthetists because it offers many advantages; however, rare complications do arise. A 67-year-old man was admitted to our otorhinolaryngology clinic for uvulopalatopharyngoplasty. Nasotracheal intubation was performed without difficulty. At the beginning of surgery, the surgeon noticed that the nasotracheal tube had penetrated the oropharyngeal mucosa through a channel in the retropharyngeal space.
The tube was left in place during surgery to prevent bleeding. After surgery, a vertical incision was made through the mucosa surrounding the tube from the inferior pouch up to the nasopharynx to prevent hematoma.
The patient was extubated without complication and discharged on the second day postoperative. The oropharyngeal mucosa was healed by the 15th day postoperative.
Nasal intubation tubes should be lubricated and inserted without force; the oropharynx should be examined carefully after intubation to rule out complications.
麻醉医生经常使用鼻腔插管，因为它有很多优点；然而，确实会出现罕见的并发症。一名67岁男性因悬雍垂腭咽成形术入住我们的耳鼻喉科诊所。鼻气管插管操作顺利。手术开始时，外科医生注意到鼻气管导管通过咽后间隙的一个通道穿透了口咽黏膜。
手术期间保留导管以防止出血。术后，从下咽袋向上至鼻咽部，在围绕导管的黏膜上做一个垂直切口以防止血肿形成。
患者顺利拔管，术后第二天出院。口咽黏膜在术后第15天愈合。
鼻腔插管应润滑且轻柔插入；插管后应仔细检查口咽以排除并发症。
Zotero 插件