Bertram S, Emshoff R, Norer B
Department of Oral and Maxillofacial Surgery, University of Innsbruck, Austria.
J Oral Maxillofac Surg. 1995 Dec;53(12):1420-4. doi: 10.1016/0278-2391(95)90669-x.
Tracheostomy is the preferred intervention for surgical establishment of an upper airway in the treatment of certain elective maxillofacial procedures. Complication rates associated with surgical tracheostomy are largely related to the restricted possibilities in diagnosis of anatomic variations. Therefore, endoscopic-guided tracheostomy is increasingly being used to enhance precision and safety. The purpose of this study was to assess the ultrasonographic anatomy of the anterior neck with regard to the performance of tracheostomy.
Fifty patients underwent ultrasonographic investigation to analyze the relationship of anatomic structures lying in the immediate vicinity of the tracheostomy site.
The data presented demonstrate the feasibility and advantage of preoperative ultrasonography to visualize the structures of the infrahyoid region.
Preoperative ultrasonography may be of great importance in diagnosing individual anatomic variations at the site of tracheostomy and in avoiding complications.
在某些择期颌面手术的治疗中，气管切开术是建立上呼吸道的首选手术干预措施。与手术气管切开术相关的并发症发生率很大程度上与解剖变异诊断的可能性受限有关。因此，内镜引导下气管切开术越来越多地被用于提高精准度和安全性。本研究的目的是评估在进行气管切开术时颈部前方的超声解剖结构。
50例患者接受了超声检查，以分析气管切开术部位附近解剖结构的关系。
所呈现的数据证明了术前超声检查可视化舌骨下区域结构的可行性和优势。
术前超声检查对于诊断气管切开术部位的个体解剖变异以及避免并发症可能具有重要意义。
