环气管部分切除术治疗严重声门下狭窄1例

详细信息

收稿日期: 2022-05-06

刊出日期: 2023-11-03

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

- Department of Otolaryngology Head and Neck Surgery, Nanjing Tongren Hospital, School of Medicine, Southeast University, Nanjing, 211102, China

More Information

Received Date: 06 May 2022

Publish Date: 03 November 2023

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5 mm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。
- 喉狭窄 /
- 气管狭窄 /
- 环气管切除术 /
- 一期拔管
Abstract: This patient suffered from severe subglottic stenosis(grade Ⅳb). 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.
- laryngostenosis /
- tracheal stenosis /
- cricotracheal resection /
- primary extubation

图 1 手术前电子喉镜检查及颈部CT情况

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图 2 环气管部分切除术术中步骤及术后情况

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图 3 手术后电子喉镜检查及颈部CT情况

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