环气管部分切除术治疗严重声门下狭窄1例  

A case report of primary extubation by partial cricotracheal resection for severe subglottic stenosis

作　　者：张庆翔[1] 刘亚群[1] 孟洁 蔡明静 黄栋栋 ZHANG Qingxiang;LIU Yaqun;MENG Jie;CAI Mingjing;HUANG Dongdong(Department of Otolaryngology Head and Neck Surgery,Nanjing Tongren Hospital,School of Medicine,Southeast University,Nanjing,21l102,China)

机构地区：[1]东南大学医学院附属南京同仁医院耳鼻咽喉头颈外科南京同仁耳鼻喉医院,南京211102

出　　处：《临床耳鼻咽喉头颈外科杂志》2023年第11期924-926,共3页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：本例患者为严重声门下狭窄(Ⅳb级),在实施环气管部分切除术过程中沿着甲状软骨正中下缘及甲状软骨下角下方5mm之间连线横断环甲膜及环状软骨弓,保留双侧环甲关节,有效保护喉返神经的同时起到了气道的支撑作用,配合合理的术后管理,实现了一期安全拔管。This patient suffered from severe subglottic stenosis(gradeⅣb).During partial cricotracheal resection,we cut through the cricothyroid membrane and the cricoid arch along the line from the lower edge of the thyroid cartilage to 5 mm of the inferior thyroid cartilage corner anteromedially.This can protect the cricothyroid joint,effectively protect the recurrent laryngeal nerve,and also support the airway.Strictly adhere to airway separation,avoid excessive separation of scars,and combine with reasonable postoperative management to achieve a safe extubation.

关 键 词：喉狭窄 气管狭窄 环气管切除术 一期拔管 

分 类 号：R562.1[医药卫生—呼吸系统]