Bola S, Munnings A, Corbridge R
Department of Otolaryngology, Royal Berkshire Hospital, Reading, UK.
Department of Otolaryngology, John Radcliffe Hospital, Oxford University Hospitals NHS Foundation Trust, UK.
J Laryngol Otol. 2020 May;134(5):458-459. doi: 10.1017/S0022215120000985. Epub 2020 Jun 3.
Rigid oesophagoscopy is a widely used therapeutic and diagnostic procedure. Smooth friction-free insertion of the rigid scope is important to prevent oral and oesophageal mucosal damage, as such damage can cause delays in oral intake or more serious complications such as perforation. Protection appliances such as gum guards are useful adjuncts to cushion the teeth in rigid oesophagoscopy; however, there are no specific adjuncts for the edentulous patient.
In order to investigate different adjuncts, the force required to pull a standard adult rigid oesophagoscope from a metal clamp whilst enclosed in dry gauze, wet gauze, a gum guard or sleek on gauze was recorded, and a prospective audit of post-procedural trauma was performed.
Less force was required to create movement of the scope against sleek on gauze, with a lower rate of oral trauma (8 per cent) compared to that reported in the literature. Sleek on gauze is recommended for the edentulous patient.
硬质食管镜检查是一种广泛应用的治疗和诊断方法。硬质内镜顺利无摩擦地插入对于防止口腔和食管黏膜损伤很重要，因为这种损伤会导致经口进食延迟或更严重的并发症，如穿孔。诸如牙龈保护套等保护器具是硬质食管镜检查中缓冲牙齿的有用辅助工具；然而，对于无牙患者没有特定的辅助工具。
为了研究不同的辅助工具，记录了将标准成人硬质食管镜从金属夹中拉出时，包裹在干纱布、湿纱布、牙龈保护套或纱布光滑表面时所需的力，并对术后创伤进行了前瞻性评估。
使内镜在纱布光滑表面上移动所需的力较小，与文献报道相比，口腔创伤发生率较低（8%）。建议无牙患者使用纱布光滑表面。
