在双边声麻的情况下,使用喉角和区域
Tzu-Ying Chen1, Hsing-Won Wang2,3,4
1Department of Otolaryngology-Head and Neck Surgery, Taipei Medical University Hospital, Taipei Medical University, Taipei, Taiwan.
Ear, nose, & throat journal
|December 14, 2024
概括
在双边声麻的情况下,喉角小于12.2°或喉面积小于25.2mm2表明需要进行呼吸道干预. 这有助于确定安全和必要的程序,如输管或气管切除术.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 喉腔病理学 喉腔病理学
- 航空航道管理的管理.
背景情况:
- 双边声麻对维持专利呼吸道构成了重大挑战.
- 对于指导临床决策而言,客观评估喉尺寸至关重要.
研究的目的:
- 建立对双边声麻患者安全和必要的呼吸道干预措施的客观标准.
- 为了确定喉角和面积测量的诊断值.
主要方法:
- 对26名双侧声麻患者的喉腔镜照片的回顾性分析 (2008年1月 - 2023年12月).
- 测量喉角和计算喉区域使用特定于性别的平均声长度.
- 两个临床医生独立测量以确保可靠性.
主要成果:
- 平均喉角为10.3°±7.3°. 这是一个很大的问题.
- 需要干预的患者 (N=17) 的平均喉角 (7.1° ± 3.7°) 和面积 (14.2 ± 7.5 mm2) 显着较小.
- 没有需要干预的患者 (N=9) 的平均喉角 (16.3° ± 8.9°) 和面积 (27.2 ± 9.4 mm2) 更大.
结论:
- 喉角小于12.2°或喉面积小于25.2mm2表明需要紧急的气道干预.
- 这些定量指标为管理双边声麻的气道损害提供了有价值的指导.
相关概念视频
01:21Larynx
The human larynx, often referred to as the voice box, is an intricate organ located in the neck. It serves as a pathway for air to enter the lungs during respiration and is an essential component of voice production.
Anatomy of the Larynx
The larynx consists of various components, including cartilage, muscles, and vocal cords. Its structure includes three large unpaired cartilages—the thyroid, cricoid, and epiglottis—and three smaller paired cartilages—the arytenoids, corniculates, and...
Anatomy of the Larynx
The larynx consists of various components, including cartilage, muscles, and vocal cords. Its structure includes three large unpaired cartilages—the thyroid, cricoid, and epiglottis—and three smaller paired cartilages—the arytenoids, corniculates, and...
01:22Cardiopulmonary Resuscitation II: ACLS Airway Management
Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned under...
01:30Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques
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 interventions are...