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评估温德勒喉整形术引发的呼吸道并发症的担忧
Zachary T Root1, Bradley D Loomis1, Thomas J Smith1
1Department of Otolaryngology-Head & Neck Surgery The Ohio State University Columbus Ohio USA.
Laryngoscope investigative otolaryngology
|August 25, 2023
概括
温德勒手术 (Wendler's glottoplasty,简称WG) 对呼吸道风险极小,大多数外科医生报告没有重大问题. 未来的输入管可能需要修改麻醉方法,主要是为了保护喉网.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 肯定性别的护理.
- 外科手术的安全性
背景情况:
- 温德勒囊整形 (Wendler's glottoplasty,简称WG) 是一种用于性别肯定护理的手术手术.
- WG创建了一个前额膜网,引发了理论上的呼吸道问题.
- 现有的文献不充分地描述了这些潜在的呼吸道问题.
研究的目的:
- 评估喉科医生对与温德勒手术相关的气道问题的意见.
- 评估与WG相关的经手术和长期气道风险.
主要方法:
- 一项调查分发给喉科医生.
- 这项调查评估了对喉整形手术的气道考虑的意见.
- 收集了来自19名医生的回复,这些医生在手术上有经验,包括手术前端的手术或前端的手术.
主要成果:
- 报告了两种轻微的外科手术周呼吸道并发症 (stridor),但没有防止当天出院.
- 没有报告任何长期后果.
- 91.9%的外科医生经常为患者就呼吸道问题提供咨询,尽管很短时间.
结论:
- WG的前喉部位表明对气道通透度的影响最小,严重的气道并发症风险低.
- 外科医生更喜欢对未来的输管进行修改的麻醉方法,使用较小的内管以防止喉网络创伤.
- 需要进一步的研究来规范治疗和麻醉剂的修改,为患者接受WG.
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