Atelectasis After Bilateral Costal Cartilage Ear Reconstruction.

IF 1 4区 医学 Q3 SURGERY Journal of Craniofacial Surgery Pub Date : 2024-10-14 DOI:10.1097/SCS.0000000000010721
Yuan Chen, Jun Zhuang, Jintian Hu
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Abstract

This study, through the case analysis of 2 patients with congenital bilateral microtia, explores the causes and preventive strategies of atelectasis after bilateral rib cartilage extraction surgery. Although ear reconstruction technology is quite mature, it may lead to complications, such as atelectasis, due to thoracic surgery and general anesthesia. Pediatric patients are more prone to such complications due to narrower airways, less pulmonary surfactant, and difficulties in pain management. Therefore, for children undergoing bilateral rib cartilage extraction surgery, health care providers need to closely monitor their respiratory status, effectively manage postoperative pain, and encourage them to engage in deep breathing and coughing exercises as much as possible to prevent and improve atelectasis.

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双侧肋软骨耳廓重建术后的气胸
本研究通过对 2 例先天性双侧小耳畸形患者的病例分析,探讨了双侧肋软骨摘除手术后出现耳廓不通气的原因和预防策略。虽然耳再造技术已经相当成熟,但由于胸腔手术和全身麻醉的原因,可能会导致气胸等并发症。小儿患者由于气道狭窄、肺表面活性物质较少、疼痛处理困难,更容易出现此类并发症。因此,对于接受双侧肋软骨摘除手术的儿童,医护人员需要密切监测其呼吸状况,有效控制术后疼痛,并鼓励他们尽可能进行深呼吸和咳嗽练习,以预防和改善肺不张。
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来源期刊
CiteScore
1.70
自引率
11.10%
发文量
968
审稿时长
1.5 months
期刊介绍: ​The Journal of Craniofacial Surgery serves as a forum of communication for all those involved in craniofacial surgery, maxillofacial surgery and pediatric plastic surgery. Coverage ranges from practical aspects of craniofacial surgery to the basic science that underlies surgical practice. The journal publishes original articles, scientific reviews, editorials and invited commentary, abstracts and selected articles from international journals, and occasional international bibliographies in craniofacial surgery.
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