在使用硫酸治疗的整形外科手术后,对后面的喉气道变化的评估
Jyoti M Biradar1, Mahesh Kumar2, Srinath N3
1Department of Oral and Maxillofacial Surgery, Bharati Vidyapeeth (Deemed to be University) Dental College and Hospital, Sangli, IND.
Cureus
|September 4, 2023
概括
整形手术可以显著改变气道尺寸,改善阻塞性睡眠呼吸暂停 (OSA) 患者的呼吸. 精心规划是管理这些软组织变化和优化术后结果的必要条件.
科学领域:
- 口腔和牙面部外科手术
- 矯正牙科 矯正牙科是一種矯正牙科.
- 睡眠医学 睡眠医学
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 与特定的呼吸道测量有关,包括下平面到状体距离和后呼吸道空间 (PAS).
- 整形手术将面部骨重新放置,影响软组织和呼吸道尺寸.
- 了解这些变化对于管理OSA和改善手术结果至关重要.
研究的目的:
- 为了评估后喉呼吸道 (PAS) 尺寸在整形手术后的变化.
- 为了评估手术骨移动对软组织结构和呼吸道通透性的影响.
- 为了将手术结果与呼吸和OSA管理的潜在改善联系起来.
主要方法:
- 使用硫酸糊来增强呼吸道可视化的侧向脑图.
- 标准化放射技术用于在手术前和手术后六周测量PAS尺寸.
- 分析硬和软组织的地标,以确认骨变形和评估气道变化.
主要成果:
- 整形外科手术导致后面的口腔和舌腔气道的统计学显著变化.
- 部的进步导致了后面的口腔和语言呼吸道的扩大.
- 软口腔的尺寸略有减少,舌骨显示出高位移位.
结论:
- 在整形手术后的软组织变化显著影响喉气道尺寸.
- 考虑这些变化对于手术规划至关重要,特别是对于患有或有OSA风险的患者.
- 密切的患者评估和管理是必要的,以优化手术后的呼吸和健康结果.
相关概念视频
Upper GI Series: Barium Swallow
466
The Barium Swallow Study, or a Barium Esophagogram, is a diagnostic imaging method used to visualize the upper gastrointestinal (GI) tract, including the esophagus, stomach, and small intestine. It employs barium sulfate, a radiopaque contrast material, to provide clear images of the upper digestive system, helping to identify abnormalities, diseases, or structural issues.
Purpose and Procedure
Patients undergoing this procedure ingest a liquid containing barium sulfate with a chalky...
Purpose and Procedure
Patients undergoing this procedure ingest a liquid containing barium sulfate with a chalky...
466
Suctioning the Oropharyngeal Airway
254
In preparing for oropharyngeal airway suctioning, a nurse must gather all necessary equipment, including a suction unit with tubing, a prepackaged suction kit, sterile gloves, water or saline for irrigation, a water-soluble lubricant, and additional personal protective equipment (such as a gown, mask, and goggles) to control infections.
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...
254
Suctioning the Nasopharyngeal Airway
500
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
500
Assessment of Airway, Skin Color, and Use of Accessory Muscles
1.0K
A thorough assessment of respiratory health is paramount in clinical settings to identify and manage respiratory distress and ensure adequate oxygenation. This article elaborates on the critical aspects of respiratory evaluation, including airway assessment, skin color examination, and the observation of accessory muscle use, which are integral to effectively diagnosing and managing patients with respiratory conditions.
Introduction
The initial evaluation of a patient's respiratory system...
Introduction
The initial evaluation of a patient's respiratory system...
1.0K
Endoscopic Procedures I: Esophagogastroduodenoscopy
169
An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
During an EGD, the endoscope can be used to:
169
Assessment of the Mouth
247
A thorough mouth assessment, including inspection and palpation of the lips, gums, tongue, tonsils, uvula, and pharynx, is crucial in detecting potential health issues. Diseases ranging from oral cancer to systemic conditions like diabetes could be identified early through careful oral examination. This article provides a detailed guide on conducting a comprehensive mouth assessment.
Mouth Inspection
The inspection begins with visually examining the mouth for symmetry, color, and size.
Mouth Inspection
The inspection begins with visually examining the mouth for symmetry, color, and size.
247


