《Journal of Oral and Maxillofacial Surgery》 ›› 2016, Vol. 26 ›› Issue (1): 47-49. doi: 10.3969/j.issn.1005-4979.2016.01.009

• Clinical Report • Previous Articles     Next Articles

A Modified Intubation Fixation Method in Maxillofacial Fracture Patients

XU Xiang-yang1, WANG Zhi-ping2, KANG Wei3   

  1. 1. Luoding Municipal People’s Hospital , Luoding 527200; 2. Department of Oral and Maxillofacial Surgery, 3. Department of Anesthesiology, Guangdong Provincial Stomatological Hospital,Guangzhou 510280, Guangdong Province, China
  • Received:2015-06-02 Revised:2015-07-15 Online:2016-02-28 Published:2016-03-22

颏下进路气管插管术在颌面部多发性骨折中的应用

徐向阳1,   王治平2,   康   伟3   

  1. 1. 广东省罗定市人民医院口腔科,广东   罗定   527200;
    2. 广东省口腔医院·南方医科大学附属口腔医院口腔颌面外科,3. 麻醉科,广东   广州   510280
  • 通讯作者: 徐向阳,主治医师. E-mail:drxu6655@163.com
  • 作者简介:徐向阳(1983—),男,广东罗定人,主治医师,学士.

Abstract: Objective: To discuss and compare the clinical effect of a modified intubation fixation method (floor of mouth-submental pathway fixation) in the treatment of maxillofacial fracture patients. Methods: 17 patients suffered with maxillofacial and/or nasal septum fractures were performed oral endotracheal intubation at first. Then the distal tips of the intubation tubes were transferred through the pathway at floor of mouth to the submental area and fixed. Results: Compared with the traditional trachea incision technique, this modified new technique decreased operative time length and postoperative complications and sequelae. Conclusion: Floor of mouth-submental endotracheal intubation technique is simple, practical and safe.

Key words: percutaneous chin endotracheal intubation, nasal intubation contraindications; , tracheotomy

摘要: 目的:颌面部多发性骨折的患者为鼻腔气管插管的禁忌证,通常需行气管切开,为避免气管切开的并发症及后遗症,观察经皮颏下切开气管插管术的临床效果。方法:先经口腔行气管插管术,成功后将气管导管后端由口内转移出口外,固定于颏部。结果:该方式手术操作简单,避免了气管切开带来的严重的并发症。结论:经皮颏下气管插管术简单、实用、安全,适合于有鼻腔插管禁忌证的颌面部外伤患者。

关键词: 经皮颏下气管插管术;  , 鼻腔插管禁忌证;  , 气管切开

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