Department of Anaesthesia and Perioperative Medicine, Royal Brisbane and Women's Hospital, Brisbane, Australia.
Faculty of Medicine, University of Queensland, Brisbane, Australia.
Anaesth Intensive Care. 2021 Mar;49(2):133-139. doi: 10.1177/0310057X20982623. Epub 2021 Apr 8.
Published reports of uvular necrosis are uncommon and it is possibly an under-reported complication of oropharyngeal manipulation. Uvular necrosis is thought to develop due to ischaemia secondary to mechanical compression of the uvula from oropharyngeal devices. Patients typically present with symptoms of a sore throat within 48 hours postoperatively. It is unclear whether there are any preventable factors, or any specific management strategies that might reduce this complication. Treatment is most commonly conservative management, including observation and simple analgesia. We present 13 cases of uvular injury that were reported to a web-based anaesthesia incident reporting system (webAIRS), a voluntary de-identified anaesthesia incident reporting system in Australia and New Zealand. While the postoperative findings varied, sore throat was the most frequent symptom. Most of the cases resolved spontaneously; the remainder with supportive treatment only. The findings suggest that patients who sustain a uvular injury can be reassured, but they should be advised to seek review early if sore throat persists or any difficulty with breathing develops.
已发表的悬雍垂坏死报告并不常见，它可能是口咽操作的一种未被充分报告的并发症。悬雍垂坏死被认为是由于口咽器械对悬雍垂的机械压迫导致的缺血引起的。患者通常在术后 48 小时内出现咽痛症状。目前尚不清楚是否存在任何可预防的因素，或任何可能减少这种并发症的特定管理策略。治疗方法最常见的是保守治疗，包括观察和简单的镇痛。我们报告了 13 例悬雍垂损伤的病例，这些病例是向基于网络的麻醉事故报告系统（webAIRS）报告的，这是一个在澳大利亚和新西兰自愿进行的匿名麻醉事故报告系统。尽管术后发现各不相同，但咽痛是最常见的症状。大多数病例自发缓解，其余病例仅用支持性治疗。这些发现表明，遭受悬雍垂损伤的患者可以得到安抚，但如果持续出现咽痛或呼吸困难，应建议他们及早寻求复查。
