困难气道患者颌面外科手术中经口至鼻气管导管交换
Oral to Nasal Endotracheal Tube Exchange in a Difficult Airway Patient During Maxillofacial Surgery.
文献信息
| PMID | 42750639 |
|---|---|
| 原文 | 在 PubMed 查看原文 ↗ |
| 发表日期 | 2026 |
| 作者 | Siwen Zhao |
| 作者单位 | Department of Anesthesiology, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College. |
| 期刊 | The Journal of craniofacial surgery |
| SCI 分区 | Q3 |
| IF | 1.1 |
| 研究类型 | 临床研究 · 临床 |
| 所属专科 | 鼻科 |
中文摘要
本病例报告描述了一例48岁Crouzon综合征患者在改良Le Fort III截骨术和Le Fort I截骨术后，采用视频喉镜联合纤维支气管镜（FOB）技术成功完成经口至鼻气管导管交换。严重的中面部破坏、出血和分泌物妨碍了单独使用FOB。视频喉镜提供了持续的声门视野并能够吸引，同时引导FOB在现有导管旁进入气管。交换在5分钟内顺利完成，无血氧饱和度下降。这种混合方法是在复杂颌面外科手术中管理困难气道交换的有效策略。
英文摘要
This case report describes a successful oral-to-nasal endotracheal tube exchange using a combined video laryngoscopy and fiberoptic bronchoscopy (FOB) technique in a 48-year-old patient with Crouzon syndrome following modified Le Fort III osteotomy and Le Fort I osteotomy. Severe midfacial disruption, bleeding, and secretions precluded the use of FOB alone. The video laryngoscope provided a continuous glottic view and enabled suctioning, while guiding the FOB into the trachea alongside the existing tube. The exchange was completed smoothly within 5 minutes without desaturation. This hybrid approach is an effective strategy for managing difficult airway exchange in complex maxillofacial surgery.