Dupoirieux L, Jammet P, Bonnet M C, Atlan G, Souyris F
Service de Chirurgie Maxillo-Faciale, Hôpital Lapeyronie, Montpellier.
Ann Fr Anesth Reanim. 1993;12(1):64-6. doi: 10.1016/s0750-7658(05)80875-5.
A case is reported of necrosis of the columella nasi due to prolonged intubation in a 21-year-old road traffic accident patient. He was intubated by the nasal route because of combined head and facial injuries. The necrosis was discovered during surgery for repair of the bony facial injuries. As the patient was in a poor condition, the lesion was not immediately repaired, and the necrotic area was only removed. Definitive repair was carried out four and a half months later, with closure of the oronasal communication with an intravelar veloplasty. Such maxillofacial complications of prolonged endotracheal intubation are rare. They are related to prolonged vascular compression by the tube. Such accidents must be recognized without any delay by carefully examining patients.
报告了一例21岁道路交通事故患者因长时间插管导致鼻小柱坏死的病例。由于头部和面部联合受伤，他通过鼻腔途径插管。在修复面部骨损伤的手术中发现了坏死。由于患者状况不佳，病变未立即修复，仅切除了坏死区域。四个半月后进行了确定性修复，采用腭内腭成形术封闭口鼻通道。长时间气管插管引起的此类颌面并发症很少见。它们与导管长时间压迫血管有关。必须通过仔细检查患者，毫不拖延地识别此类事故。
