Bast F, Buchal A, Schrom T
Craniofacial Surgery, Chelsea and Westminster Hospital, 369 Fulham Road, SW10 9NH, London, United Kingdom,
HNO. 2015 Mar;63(3):220-3. doi: 10.1007/s00106-013-2783-3.
In terms of numbers, percutaneous dilatational tracheotomy (PDT) is the most important tracheotomy technique since it is applied in surgical and nonsurgical disciplines. Where correctly indicated, PDT is a fast, economical and easily reversible procedure. Incorrect indication sometimes necessitates conversion of a PDT into a conventional surgical tracheostomy. In these cases scarring, wound infections and ambiguous anatomical structures can represent a surgical challenge. Where a long-term tracheotomy requirement is predicted, a surgical tracheostomy should be performed.
就实施数量而言，经皮扩张气管切开术（PDT）是最重要的气管切开术技术，因为它应用于外科和非外科领域。在适应证正确的情况下，PDT是一种快速、经济且易于逆转的手术。适应证错误有时需要将PDT转换为传统外科气管切开术。在这些情况下，瘢痕形成、伤口感染和解剖结构不明确可能构成手术挑战。如果预计需要长期气管切开，应进行外科气管切开术。
