Improving the endoscopic view of the hypopharynx with anterior neck traction during the trumpet manoeuvre.
Improving the endoscopic view of the hypopharynx with anterior neck traction during the trumpet manoeuvre.
复制标题
在喇叭动作期间通过颈前牵引改善下咽部的内窥镜视野。
DOI：
10.1258/0022215001905562
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发表时间：
2000
期刊：
影响因子：
--
通讯作者：
J. Carruth
中科院分区：
文献类型：
--
作者：
W. Colquhoun;A. Davis;J. Carruth
在软喉咽镜下很难观察到环状软骨后亚位点。通过自动充气操作或颈前皮肤牵引可以改善视野。在这项研究中，对下咽部的视图进行了分级，同时在喇叭动作期间应用了前颈皮肤牵引；后者涉及患者用手指吹气，就像吹气球一样。仅在自动吹气时，22/25（88％）的病例中出现环状软骨后部位，25 例中的 2 例（8％）出现食管上括约肌 (UOS)。在 22 例仅显示环状软骨后部位的病例中，随后的颈部皮肤牵引显示 8 例出现 UOS。总体而言，单独使用自动充气或与牵引结合使用可在 40% (10/25) 的病例中实现 UOS 可视化。吹号时应用皮肤牵引很容易执行，应常规使用。
The postcricoid subsite is difficult to visualize on flexible laryngopharyngoscopy. The view can be improved with either auto-insufflation manoeuvres or anterior neck skin traction. In this study, the view of the hypopharynx was graded whilst anterior neck skin traction was applied during the trumpet manoeuvre; the latter involves the patient blowing on his finger as if blowing up a balloon. On auto-insufflation alone, the postcricoid site was demonstrated in 22/25 (88 per cent) of cases and the upper oesophageal sphincter (UOS) in two out of 25 (eight per cent). Of the 22 cases in whom only the postcricoid site was demonstrated, subsequent neck skin traction revealed the UOS in eight. Overall, the use of auto-insufflation solely or in combination with traction resulted in UOS visualization in 40 per cent (10/25) of cases. The application of skin traction during trumpeting is easy to perform and should be used routinely.