经舌骨下经咽气管插管：病例系列与综述。
Transmylohyoid orotracheal intubation: case series and review.
机构信息
Department of Oral and Maxillofacial Surgery, Vidya Shikshan Prasarak Mandal's (V.S.P.M.'s) Dental College and Research Centre, Nagpur-440019, Maharashtra, India.
出版信息
J Clin Anesth. 2012 Sep;24(6):460-4. doi: 10.1016/j.jclinane.2011.12.007.
STUDY OBJECTIVE
To evaluate the outcome of airway management in patients with complex maxillofacial fracture by submental intubation, time required for intubation, accidental extubation, and postoperative complications.
DESIGN
Retrospective study.
SETTING
University-affiliated hospital.
MEASUREMENTS
The medical records of the 10 patients who underwent submental intubation from December 2008 to June 2011 were reviewed.
MAIN RESULTS
At the end of the procedure, all 10 patients were extubated without any complications. Postoperatively, only one patient presented with superficial infection of the submental wound.
CONCLUSIONS
Submental endotracheal intubation is a simple technique with very low morbidity, and may be used as an alternative to tracheostomy in selected cases of maxillofacial trauma.
研究目的
通过颏下入路插管评估复杂颌面骨折患者的气道管理效果、插管所需时间、意外拔管以及术后并发症。
设计
回顾性研究。
地点
大学附属医院。
测量
回顾分析了 2008 年 12 月至 2011 年 6 月期间 10 例行颏下入路插管患者的病历资料。
主要结果
术毕，所有患者均成功拔管，无任何并发症。术后仅 1 例患者出现颏下伤口浅表感染。
结论
颏下入路气管插管技术简单、发病率低，可作为颌面外伤患者的一种替代气管切开术式。
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