Montgomery W W, Montgomery S K
Department of Otolaryngology, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston.
Ann Otol Rhinol Laryngol Suppl. 1990 Sep;150:2-28. doi: 10.1177/00034894900990s901.
This manual is designed to instruct the surgeon, the nurse, and, directly or indirectly, the patient on the updated usage of prostheses involved with reconstructive surgery of the larynx, trachea, and esophagus. The silicone tracheal Safe-T-Tube has been modified in an attempt to prevent its being displaced posteriorly into the trachea. The silicone tracheal cannula can be used in place of a tracheotomy tube unless there is aspiration or positive pressure breathing is required. Its success with sleep apnea has been especially gratifying. The salivary bypass tube and the esophageal tube continue to be of use in treating fistulas, strictures, and reconstruction of the cervical esophagus. The laryngeal keel and stent are described and illustrated for use with reconstructive surgery of the larynx.
本手册旨在指导外科医生、护士，并直接或间接地指导患者了解与喉、气管和食管重建手术相关假体的最新使用方法。硅胶气管安全T型管已进行了改进，以防止其向后移位至气管内。除非存在误吸或需要正压通气，否则硅胶气管插管可用于替代气管切开管。其在治疗睡眠呼吸暂停方面的成效尤其令人满意。唾液分流管和食管管在治疗瘘管、狭窄以及颈段食管重建方面仍有应用价值。文中描述并配有图示说明了用于喉部重建手术的喉龙骨和支架。
