Castling B, Telfer M, Avery B S
Department of Oral and Maxillofacial Surgery, Middlesbrough General Hospital, Cleveland.
Br J Oral Maxillofac Surg. 1994 Feb;32(1):3-5. doi: 10.1016/0266-4356(94)90162-7.
Employment of tracheostomy in head and neck cancer surgery remains controversial. This study details those cases in which the life-saving potential of tracheostomy placement was considered to outweigh the observed disadvantages. Sixty consecutive cases of tracheostomy in head and neck cancer patients were assessed and revealed a relatively low complication rate (11% of cases). Chest infection was the commonest problem encountered, although none were life threatening and all responded to treatment. Surgical and medical management aimed at reducing tracheostomy complications is discussed.
在头颈癌手术中使用气管造口术仍存在争议。本研究详细介绍了那些认为气管造口术的救命潜力超过所观察到的缺点的病例。对60例连续的头颈癌患者气管造口术病例进行了评估，结果显示并发症发生率相对较低（11%的病例）。胸部感染是最常见的问题，尽管没有一个危及生命，且所有病例对治疗均有反应。本文讨论了旨在减少气管造口术并发症的手术和医疗管理方法。
