Strauss M
Department of Otorhinolaryngology--Head & Neck Surgery, Case Western Reserve University School of Medicine, Cleveland, Ohio.
Laryngoscope. 1990 Feb;100(2 Pt 1):152-4. doi: 10.1288/00005537-199002000-00009.
Experience with the original Montgomery silicone tracheal cannulas in 47 patients with obstructive sleep apnea has been reported. Further experience with 10 obstructive sleep apnea patients who used modified silicone tracheal cannulas that permit periodic self-removal, cleaning, and reinsertion was analyzed. Two patients used the tube briefly and without complications. The remaining eight patients used the modified cannula for 18 to 24 months. The average number of office visits following insertion was three. Compared to the original cannulas, there were markedly fewer difficulties with granulations, infection, and tube malposition with the modified cannulas. The improvements make this modified device a useful tool worth further study in obstructive sleep apnea patients requiring tracheostomy.
已有关于47例阻塞性睡眠呼吸暂停患者使用原始蒙哥马利硅胶气管插管的经验报道。本文分析了另外10例阻塞性睡眠呼吸暂停患者使用改良硅胶气管插管的经验，该改良插管允许患者定期自行取出、清洁和重新插入。2例患者短期使用了该插管，未出现并发症。其余8例患者使用改良插管18至24个月。插管后平均门诊就诊次数为3次。与原始插管相比，改良插管在肉芽形成、感染和导管错位方面的困难明显减少。这些改进使这种改良装置成为一种值得在需要气管造口术的阻塞性睡眠呼吸暂停患者中进一步研究的有用工具。
