Retrograde submental intubation by pharyngeal loop technique in a patient with faciomaxillary trauma and restricted mouth opening.
Retrograde submental intubation by pharyngeal loop technique in a patient with faciomaxillary trauma and restricted mouth opening.
复制标题
通过咽环技术对面部上颌骨创伤且张口受限的患者进行逆行颏下插管。
DOI：
10.1213/01.ane.0000142126.86492.7d
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发表时间：
2005
影响因子：
5.7
通讯作者：
R. Sharma
中科院分区：
文献类型：
--
作者：
V. Arya;A. Kumar;S. Makkar;R. Sharma
颏下插管在颌面部手术中，当鼻腔和口气管插管被认为不合适并避免气管切开术时，特别是在术后不需要长期通气支持时，对气道管理是有用的。适当的开口是所有颏下插管技术的先决条件，因为第一步是口气管插管。因此，该手术从未在无法张嘴的患者中报道过。我们描述的技术逆行颏下插管与咽环组件的帮助下，第一次在患者颌面部创伤和限制张嘴，口腔和鼻腔插管是不可能的，气管切开术是唯一的选择。在本病例报告中，逆行颏下插管成功，避免了与短期气管切开术相关的潜在并发症，因为没有指征在术后期间保持气管切开术。
Submental intubation is useful for airway management during maxillofacial surgery when both nasal and orotracheal intubation are deemed unsuitable and to avoid a tracheostomy, especially when long-term ventilatory support is not required in the postoperative period. Adequate mouth opening is a prerequisite for all the techniques described for submental intubation, as the initial step is orotracheal intubation. Hence, this procedure has never been reported in a patient with the inability to open the mouth. We describe the technique of retrograde submental intubation with the help of a pharyngeal loop assembly for the first time in a patient with maxillofacial trauma and restricted mouth opening in whom oral and nasal intubations were not possible and tracheostomy was the only alternative. In this case report, with successful retrograde submental intubation, the potential complications associated with a short-term tracheostomy were avoided, as there was no indication for keeping a tracheostomy during the postoperative period.