Tsukamoto Masanori, Hirokawa Jun, Yokoyama Takeshi
Department of Dental Anesthesiology, Kyushu University Hospital, Fukuoka, Japan, and.
Department of Dental Anesthesiology, Faculty of Dental Science, Kyushu University, Fukuoka, Japan.
Anesth Prog. 2018 Summer;65(2):111-112. doi: 10.2344/anpr-65-01-07.
Retained foreign bodies sometimes occur in various surgical procedures and can lead to severe complications. Foreign bodies in the oral and maxillofacial region are not rare because of the use of many small items and the natural communication with the outside environment in some areas. We experienced a case of foreign body in the nasal cavity, which was discovered 1 year later at a second operation for hardware removal after maxillofacial surgery. A small, soft material is usually placed between the nasal endotracheal tube and nostril to avoid nasal pressure ulcer at the ala of nose after prolonged anesthesia after our group's experiencing some cases of this complication. The foreign body was found in the pharynx during induction of a second anesthesia. Attention should be directed to not leaving any materials in the patient after surgery. In addition to the normal counts of sponges, needles, etc, other small nonsurgical materials used should be recorded by medical staff to help ensure nothing is retained in the patient.
异物残留有时会出现在各种外科手术中，并可能导致严重并发症。由于使用了许多小物件以及口腔颌面部某些区域与外界环境的天然连通性，口腔颌面部的异物并不罕见。我们遇到了一例鼻腔异物病例，该异物在颌面外科手术后一年的第二次取出内固定手术中被发现。在我们的团队经历了一些此类并发症的病例后，通常会在鼻气管导管和鼻孔之间放置一小块柔软材料，以避免长时间麻醉后鼻翼处出现鼻压疮。在第二次麻醉诱导期间，异物在咽部被发现。术后应注意不要在患者体内遗留任何材料。除了正常清点纱布、针头等等，医护人员还应记录使用的其他非手术小材料，以确保患者体内没有任何遗留物。
