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环状软骨下径路喉气管分离术治疗气管支气管巨大症。

Laryngotracheal separation through the cricoid ring for management of tracheobronchomegaly.

机构信息

Division of Pediatric Otolaryngology-Head and Neck Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.

Division of Pediatric Otolaryngology-Head and Neck Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA; Department of Otolaryngology-Head and Neck Surgery, University of Cincinnati College of Medicine, Cincinnati, OH, USA.

出版信息

Int J Pediatr Otorhinolaryngol. 2022 Oct;161:111266. doi: 10.1016/j.ijporl.2022.111266. Epub 2022 Aug 4.

DOI:10.1016/j.ijporl.2022.111266
PMID:35964494
Abstract

Tracheobronchomegaly is a rare condition characterized by diffuse dilation of the trachea and main bronchi. In ventilator-dependent neonates with tracheobronchomegaly, a tracheostomy may be hazardous due to the lack of an appropriate tracheostomy tube size that can fit the enlarged trachea. Here, we describe a modification of the laryngotracheal separation procedure to permit ventilation in a child with tracheobronchomegaly and severe bronchopulmonary dysplasia.

摘要

气管支气管巨大症是一种罕见的疾病,其特征为气管和主支气管弥漫性扩张。在依赖呼吸机的新生儿中,由于缺乏可适应增大气管的合适气管造口管尺寸,气管造口术可能存在危险。在这里,我们描述了一种改良的喉气管分离术,以允许患有气管支气管巨大症和严重支气管肺发育不良的儿童进行通气。

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