头颈外科中的择期气管切开术：我们的经验
Elective Tracheostomy in Head and Neck Surgery: Our Experience.
作者信息
Anehosur Venkatesh S, Karadiguddi Pallavi, Joshi Vajendra K, Lakkundi Basavraj C, Ghosh Rajarshi, Krishnan Gopalkrishnan
机构信息
Professor and Head, Department of Craniofacial and Maxillary Surgery, SDM College of Dental Sciences and Hospital, Dharwad, Karnataka, India.
Assistant Professor, Department of Craniofacial and Maxillary Surgery, SDM College of Dental Sciences and Hospital, Dharwad, Karnataka, India.
出版信息
J Clin Diagn Res. 2017 May;11(5):ZC36-ZC39. doi: 10.7860/JCDR/2017/24117.9854. Epub 2017 May 1.
INTRODUCTION
Tracheostomy is commonly used to secure the airway during the immediate postoperative period in maxillofacial oncological operations. We conducted a study to review the utility of elective tracheostomy in head and neck surgery.
AIM
To review the incidence of intraoperative, perioperative and postoperative complications and its management in elective tracheostomy and to analyse its utility in head and neck surgery.
MATERIALS AND METHODS
The study included review of 50 patients, who were treated for head and neck cancers in the Department of Oral And Maxillofacial Surgery of our centre between January 2011 to December 2014.
RESULTS
The study showed a male predilection with mean tracheostomy time of 25 minutes and operative time of 11 hours. The patients had an ICU stay of two days and elective ventilation of one day with mild tracheal secretion seen postoperatively. No other complications were noted intraoperatively or postoperatively.
CONCLUSION
Elective tracheostomy even though an invasive tool when used properly in selected patients, can be safe and beneficial to the patients.
引言
气管切开术常用于颌面肿瘤手术术后即刻确保气道安全。我们开展了一项研究，以评估择期气管切开术在头颈外科手术中的效用。
目的
回顾择期气管切开术中、围手术期及术后并发症的发生率及其处理方法，并分析其在头颈外科手术中的效用。
材料与方法
本研究回顾了2011年1月至2014年12月间在我们中心口腔颌面外科接受头颈癌治疗的50例患者的情况。
结果
研究显示男性居多，平均气管切开时间为25分钟，手术时间为11小时。患者在重症监护病房停留两天，择期通气一天，术后可见轻度气管分泌物。术中及术后未发现其他并发症。
结论
择期气管切开术尽管是一种侵入性手段，但在选定患者中正确使用时，对患者可能是安全且有益的。
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