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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 .. >Cricothyroidotomy vs. sternal tracheotomy for challenging airway anatomy.
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Cricothyroidotomy vs. sternal tracheotomy for challenging airway anatomy.

机译：环颈胸腔切开术与胸骨气管切开术比较复杂的气道解剖结构。

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摘要

Although tracheotomies are the standard procedure for elective surgical airways, some patients present with challenging anatomy. In circumstances of abnormal skeletal deformities, such as kyphoscoliosis, the airway is also often tortuous and access to the trachea may be difficult. In the situation of severely distorted tracheal anatomy, where access to the trachea may require a mediansternotomy, a cricothyroidotomy may be the safer option. This article details the technique involved in approaching a substernal larynx and stomatizing a cricothyroidotomy for a patient who required a long-term surgical airway secondary to severe kyphoscoliosis from Proteus syndrome and failure to extubate.
机译：尽管气管切开术是选择性外科手术气道的标准程序，但有些患者的解剖学仍具有挑战性。在畸形的骨骼畸形的情况下，例如脊柱后凸畸形，气道也常常是曲折的，进入气管可能很困难。在气管解剖结构严重扭曲的情况下，进入气管可能需要进行正中胸骨切开术，环颈甲状腺切开术可能是更安全的选择。本文详细介绍了针对因Proteus综合征导致严重后凸畸形继发并不能拔管而需要长期手术气道的患者，接近胸骨下喉并进行环切开术的技术。

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