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首页> 外文期刊>The Laryngoscope: A Medical Journal for Clinical and Research Contributions in Otolaryngology, Head and Neck Medicine and Surgery, Facial Plastic and Reconstructive Surgery .. >The transnasal esophagoscopy documentation dilemma.
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The transnasal esophagoscopy documentation dilemma.

机译：经鼻食管镜检查的两难处境。

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OBJECTIVE: To determine radiographically the anatomic length difference between the nasal and oral aerodigestive tracts and to clarify gaps in the literature regarding standardized landmark measurements and documentation techniques in transnasal esophagoscopy, as opposed to traditional transoral esophagoscopy. STUDY DESIGN: This is a prospective radiographic cohort study. METHODS: Digital computerized tomography measurement techniques were used to determine the difference in length between the nasal and oral aerodigestive tracts. Using sagittal plane images from consecutive patients, the mean nares-cricoid (NC) distance, upper incisor-cricoid (IC) distance, and their mean differences were determined. Male, female, and overall distances and differences were calculated. Standard deviations, 95% confidence intervals, and 90% prediction intervals were also calculated. Mean difference data were applied to reported standard oral esophagoscopy landmark measurements to convert to standard landmark measurementsfrom the nares. RESULTS: Overall mean NC and IC distances were 175.4 mm and 147.5 mm, respectively. For males, these mean distances were 185.5 mm and 155.0 mm, respectively. For females, these mean distances were 165.3 mm and 140.0 mm, respectively. Overall mean NC to IC difference was 27.9 mm. The mean NC to IC difference for males and females was 30.5 mm and 25.2 mm, respectively. CONCLUSIONS: Historically, landmark and report measurements in esophagoscopy have been measured and standardized from the upper incisor. This study demonstrates and clarifies the inherent anatomic length difference of the nasal and oral aerodigestive tracts and the resultant documentation dilemma produced by transnasal esophagoscopy techniques. These data provide easy conversion of esophagoscopy measurements reported from the incisors or nares, providing better communication between endoscopists of different disciplines and techniques.
机译：目的：通过射线照相确定鼻腔和口腔消化道之间的解剖长度差异，并澄清与传统经口食管镜检查相比，经鼻食管镜检查中标准化界标测量和记录技术的文献空白。研究设计：这是一项前瞻性影像学队列研究。方法：使用数字计算机断层扫描测量技术确定鼻腔和口腔消化道之间的长度差异。使用连续患者的矢状面图像，确定平均鼻孔-鼻窦（NC）距离，上门牙-鼻窦（IC）距离及其均值差。计算了男性，女性以及总体距离和差异。还计算了标准偏差，95％置信区间和90％预测区间。将平均差异数据应用于报告的标准口腔食管镜界标测量，以从鼻孔转换为标准界标测量。结果：整体平均NC和IC距离分别为175.4 mm和147.5 mm。对于男性，这些平均距离分别为185.5 mm和155.0 mm。对于女性，这些平均距离分别为165.3毫米和140.0毫米。 NC与IC的总体平均差值为27.9 mm。男性和女性的平均NC与IC差异分别为30.5 mm和25.2 mm。结论：历史上，食管镜检查中的界标和报告测量是从上门牙开始进行测量和标准化的。这项研究证明并阐明了鼻腔和口腔呼吸消化道固有的解剖长度差异，以及经鼻食管镜检查技术产生的由此产生的文献困境。这些数据可以方便地转换从门牙或鼻孔报告的食管镜测量结果，从而在不同学科和技术的内镜医师之间提供更好的沟通。

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