鼻孔穿孔的内镜修复的结果
Parker Tumlin1, Sahar Assi2, Mark Armeni1
1Department of Otolaryngology, West Virginia University, Morgantown, WV, USA.
The Annals of otology, rhinology, and laryngology
|May 29, 2023
概括
在73.2%的患者中,内镜前额叶状动脉 (AEA) 片成功修复了鼻腔隔膜穿孔. 积极吸烟,糖尿病和鼻入药物使用与手术失败有关.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 鼻科 鼻科是指鼻科的专家.
- 手术技巧 手术技巧
背景情况:
- 症状性鼻腔隔膜穿孔显著影响患者的生活质量.
- 使用前方肌动脉 (AEA) 片进行内镜修复是一种公认的外科选择.
研究的目的:
- 为了评估内镜隔膜穿孔修复的结果,使用AEA.
- 在这个患者队列中确定与手术失败相关的风险因素.
主要方法:
- 在两个机构进行了回顾性案例系列.
- 分析了从2020年8月至2022年7月期间接受AEA片修复鼻腔穿孔的41名患者的数据.
主要成果:
- 完全关闭的总体成功率为73.2%.
- 手术失败的重要风险因素包括活跃吸烟 (p=0.007),鼻入药物使用史 (p=0.047) 和糖尿病 (p=0.008).
结论:
- 内镜AEA片技术证明了鼻腔隔膜穿孔关闭的可靠性.
- 鼻内药物使用,活跃吸烟和糖尿病是考虑潜在失败的关键因素.
相关概念视频
Esophageal Perforation-II: Clinical Manifestations and Management
102
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Clinical Manifestations:
102
Epistaxis
211
Epistaxis, or nosebleeds, occurs when small, swollen blood vessels in the nasal mucous membrane rupture. Typically, the anterior septum is the primary site of occurrence.
Etiology
Possible causes of this condition include high blood pressure, trauma, low humidity, upper respiratory tract infections, allergies, foreign bodies, nasal inhalation of corticosteroids or illicit drugs, excessive use of decongestant nasal sprays, facial or nasal surgery, anatomic malformation, tumors, or systemic...
Etiology
Possible causes of this condition include high blood pressure, trauma, low humidity, upper respiratory tract infections, allergies, foreign bodies, nasal inhalation of corticosteroids or illicit drugs, excessive use of decongestant nasal sprays, facial or nasal surgery, anatomic malformation, tumors, or systemic...
211
Suctioning the Nasopharyngeal Airway
546
Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required
Equipment Required
546
Tracheostomy Decannulation
260
Tracheostomy decannulation is a significant milestone in the liberation of mechanically ventilated patients. Despite its importance, there is no universally accepted protocol for this procedure. This demands an evidence-based, individualized approach.
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
260
Endoscopic Studies I: Bronchoscopy and Thoracoscopy
240
Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
240


