喉和气管狭窄症的喉和气管重建
Mollie C Perryman1, Shannon M Kraft1, Hannah L Kavookjian1
1Department of Otolaryngology-Head & Neck Surgery, University of Kansas, The University of Kansas Medical Center, 3901 Rainbow Boulevard, MS 3010, Kansas City, KS 66160, USA.
Otolaryngologic clinics of North America
|June 2, 2023
概括
喉支气管狭窄的喉支气管狭窄,通常需要手术干预. 先进的技术,如自身移植和未来的组织工程,为复杂的病例提供解决方案.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 胸部外科手术 胸部外科手术
- 再生医学是一种再生医学.
背景情况:
- 喉支气管狭窄症涉及气道狭窄的光,下光,或气管.
- 内镜手术可以打开通气道的光线,但对于广泛的狭窄,可能不足.
研究的目的:
- 审查当前和未来的策略,以管理喉喉狭窄症.
- 强调开放切除,重建和移植在呼吸道管理中的作用.
主要方法:
- 关于喉喉狭窄症治疗的文献综述.
- 讨论开放的外科手术技术,包括切除和解剖.
- 探索用于气道扩张的自身移植.
主要成果:
- 内镜程序提供初始的光线开放.
- 开放式切除和重建对于功能性呼吸道复合至关重要.
- 当标准切除由于狭窄程度或位置不足时,采用自身移植.
结论:
- 在严重的喉狭窄症中,手术重建是必不可少的.
- 自主移植是复杂的呼吸道重建的重要选择.
- 组织工程和全移植是空气道重建的有希望的未来方向.
相关概念视频
Trachea
2.3K
The trachea, commonly known as the windpipe, is a vital part of the human respiratory system. It serves as a passageway for air to travel between the larynx and the bronchi, allowing oxygen to reach the lungs. Let's explore its anatomical features, dimensions, layers of the tracheal wall, associated muscles, and the functions of its parts.
Anatomical Features:
Location: About half of the trachea is situated in the neck, anterior to the esophagus, and extends from the larynx (at the level of...
Anatomical Features:
Location: About half of the trachea is situated in the neck, anterior to the esophagus, and extends from the larynx (at the level of...
2.3K
Tracheostomy: Procedure and Tubes
788
A tracheostomy is a surgical procedure that creates an artificial opening into the trachea, typically at the second or third cartilaginous ring level. This opening allows the insertion of a tracheostomy tube, which can replace an endotracheal tube, provide mechanical ventilation, bypass an upper airway obstruction, or remove accumulated tracheobronchial secretions.
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
788
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
Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques
27
Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway...
27
Tracheostomy Care I: Pre-procedural Steps
263
A tracheostomy is a surgical technique that involves making an incision in the neck to provide access to the trachea. It is frequently used in medical conditions such as airway obstruction and prolonged mechanical ventilation. Effective nursing management is crucial for the long-term success of a tracheostomy.
Required Equipment
The equipment necessary for tracheostomy care includes:
Required Equipment
The equipment necessary for tracheostomy care includes:
263
Oxygen Delivering System III: Tracheostomy and T-piece
1.4K
Oxygen delivery is critical in clinical care, especially for patients with respiratory disorders or those undergoing surgical procedures. Various systems, such as tracheostomy and the T-piece, deliver oxygen to the lungs, ensuring adequate arterial oxygenation.
Tracheostomy
A tracheostomy is a surgically created opening (stoma) in the anterior part of the trachea. It is used to establish a patient airway, bypass an upper airway obstruction, simplify the removal of secretions, permit long-term...
Tracheostomy
A tracheostomy is a surgically created opening (stoma) in the anterior part of the trachea. It is used to establish a patient airway, bypass an upper airway obstruction, simplify the removal of secretions, permit long-term...
1.4K


