Effect of percutaneous dilatational tracheotomy in oral and maxillofacial surgery anesthesia
- VernacularTitle:经皮扩张气管切开术在口腔颌面外科麻醉中的应用
- Author:
Baojian ZHAO
;
Yingchun DONG
;
Xinhe WANG
;
Gang LI
;
Rongxiang SU
- Publication Type:Journal Article
- Keywords:
Percutaneous dilatational tracheotomy;
Complications;
Oral and maxillofacial surgery;
Surgical tracheotomy
- From:
The Journal of Clinical Anesthesiology
2016;32(4):369-371
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effect of preoperative percutaneous dilatational trache-otomy (PDT)in oral and maxillofacial surgery anesthesia versus traditional surgical tracheotomy (ST).Methods General data,vital signs,operation time,anesthetics,the amount of bleeding and complications during the procedure were analyzed after reviewing the clinical data of 124 cases under-going radical correction of oral and maxillofacial tumor plus flap transferring and repairing and trache-otomy during May 2013 to May 201 5.Results A total of 124 cases were divided into two groups:PDT group (group P,n =41)and ST group (group S,n =83).There was no significant difference of general data between the two groups.The incision length and operation time were significantly shorter and the amount of bleeding was remarkably lower in group P than those in group S (P <0.05),while the incidence of complications was not significantly different between the two groups.Conclusion PDT has more advantages over traditional ST and is a better airway approach in oral and maxillofacial surgery.
