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病例系列 - 小儿上气道梗阻的气管切开术

Case Series - Pediatric Tracheostomy for Upper Airway Obstruction.

作者信息

Rajasekaran S, Priya K, Balaji D, Karthika R

机构信息

Dept. Of ENT, Chettinad Hospital and Research Institute, Chettinad Academy of Research and Education, Kelambakkam, Chengalpattu District, TamilNadu 603103 India.

出版信息

Indian J Otolaryngol Head Neck Surg. 2023 Dec;75(4):3850-3854. doi: 10.1007/s12070-023-03892-1. Epub 2023 May 26.

Abstract

UNLABELLED

Certain congenital craniofacial malformations can cause upper airway obstruction. Due to neurological involvement, these craniofacial deformities with upper airway blockage frequently require tracheostomy. Children who need weeks or months of continuous ventilator assistance require tracheostomies, which improve pulmonary toilet and decrease laryngotracheal lesions such subglottic stenosis and tracheomalacia. In this case report we will be discussing about two patients who underwent Pediatric tracheostomy for Pierre Robin sequence and supraglottic stenosis in our institute. This paper emphasizes on some of the rare causes of pediatric upper airway obstruction - Pierre Robin sequence and supraglottic stenosis. Also the importance of tracheostomy procedure, which is the gold standard for management of upper airway obstruction in patients who are not responding to conservative management is emphasized.

SUPPLEMENTARY INFORMATION

The online version contains supplementary material available at 10.1007/s12070-023-03892-1.

摘要

未标注

某些先天性颅面畸形可导致上气道梗阻。由于神经受累,这些伴有上气道阻塞的颅面畸形常需要气管切开术。需要数周或数月持续呼吸机辅助的儿童需要气管切开术,这有助于改善肺部清洁并减少诸如声门下狭窄和气管软化等喉气管病变。在本病例报告中,我们将讨论在我们研究所接受小儿气管切开术治疗皮埃尔·罗宾序列征和声门上狭窄的两名患者。本文强调小儿上气道梗阻的一些罕见原因——皮埃尔·罗宾序列征和声门上狭窄。此外,还强调了气管切开术的重要性,它是对保守治疗无反应的上气道梗阻患者管理的金标准。

补充信息

在线版本包含可在10.1007/s12070 - 023 - 03892 - 1获取的补充材料。

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Case Series - Pediatric Tracheostomy for Upper Airway Obstruction.病例系列 - 小儿上气道梗阻的气管切开术
Indian J Otolaryngol Head Neck Surg. 2023 Dec;75(4):3850-3854. doi: 10.1007/s12070-023-03892-1. Epub 2023 May 26.
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本文引用的文献

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Pediatric tracheotomy: a 30-year experience.小儿气管切开术:30 年经验。
J Pediatr Surg. 2013 Jul;48(7):1470-5. doi: 10.1016/j.jpedsurg.2012.09.066.
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Indications and complications of tracheostomy in children.儿童气管切开术的适应证及并发症。
Braz J Otorhinolaryngol. 2010 May-Jun;76(3):326-31. doi: 10.1590/S1808-86942010000300010.
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Pediatric tracheotomies: a 37-year experience in 282 children.小儿气管切开术:282例患儿的37年经验
Int J Pediatr Otorhinolaryngol. 2009 Jul;73(7):959-61. doi: 10.1016/j.ijporl.2009.03.020. Epub 2009 Apr 23.
7
Oroesophageal motor disorders in Pierre Robin syndrome.皮埃尔·罗宾综合征中的口食管运动障碍
J Pediatr Gastroenterol Nutr. 2001 Mar;32(3):297-302. doi: 10.1097/00005176-200103000-00012.
8
Pediatric tracheotomies: changing indications and outcomes.小儿气管切开术:适应证的变化与治疗结果
Laryngoscope. 2000 Jul;110(7):1099-104. doi: 10.1097/00005537-200007000-00006.
9
Management of airway obstruction in the Pierre Robin sequence.Pierre Robin序列中气道阻塞的管理。
Int J Pediatr Otorhinolaryngol. 1991 Jul;22(1):29-37. doi: 10.1016/0165-5876(91)90094-r.

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