Janina N Janssen, Gabriele M Gradner, Lea Liehmann
{"title":"使用商用硅胶支架和三维打印硅胶支架对两只肱犬进行永久性气管造口管理的长期效果。","authors":"Janina N Janssen, Gabriele M Gradner, Lea Liehmann","doi":"10.1111/vsu.14085","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To report the long-term outcome of utilization of a silicone stent to support the management of a permanent tracheostomy.</p><p><strong>Study design: </strong>Short case series.</p><p><strong>Animals: </strong>Two client-owned brachycephalic dogs.</p><p><strong>Methods: </strong>Two brachycephalic dogs with stage III laryngeal collapse underwent permanent tracheostomy. After the tracheostomy had healed, a silicone stent was inserted to support the stoma and facilitate home care. One dog wore a commercially available silicone stent for the follow-up period of 2 years. For the dog in Case 2, a 3D-printed, medical-grade silicone stent with an increased length was designed, as the dog had developed skin sores from the commercial device.</p><p><strong>Results: </strong>Both dogs tolerated the silicone stent well. Stent care was managed by the owners without need for assistance. They reported that the silicone stent facilitated cleaning of the stoma surroundings and that they felt an increased confidence in airway patency, as the device prevented the tracheal stoma from collapsing. In Case 1, tracheoscopy 1 year after first stent insertion revealed minimal visible changes to the tracheal stoma. In Case 2, the 3D printed silicone stent led to a remission of skin sores and the dog wore the device comfortably until succumbing to an unrelated disease 13 months later.</p><p><strong>Conclusion: </strong>The insertion of a silicone stent is a simple and cost-effective method to improve home care of dogs with permanent tracheostomy. Larger dogs, as in Case 2, may benefit from custom-designed 3D-printed stents.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":null,"pages":null},"PeriodicalIF":1.3000,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Long-term outcome of permanent tracheostomy management in two brachycephalic dogs using a commercial and a three-dimensional-printed silicone stent.\",\"authors\":\"Janina N Janssen, Gabriele M Gradner, Lea Liehmann\",\"doi\":\"10.1111/vsu.14085\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>To report the long-term outcome of utilization of a silicone stent to support the management of a permanent tracheostomy.</p><p><strong>Study design: </strong>Short case series.</p><p><strong>Animals: </strong>Two client-owned brachycephalic dogs.</p><p><strong>Methods: </strong>Two brachycephalic dogs with stage III laryngeal collapse underwent permanent tracheostomy. 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In Case 2, the 3D printed silicone stent led to a remission of skin sores and the dog wore the device comfortably until succumbing to an unrelated disease 13 months later.</p><p><strong>Conclusion: </strong>The insertion of a silicone stent is a simple and cost-effective method to improve home care of dogs with permanent tracheostomy. 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引用次数: 0
摘要
研究目的报告使用硅胶支架支持永久性气管造口管理的长期效果:研究设计:短期病例系列:动物:两只客户饲养的肱犬:两只患有喉塌陷 III 期的肱犬接受了永久性气管造口术。气管造口愈合后,插入硅胶支架以支撑造口并方便家庭护理。其中一只狗在两年的随访期间一直佩戴着市面上销售的硅胶支架。为病例 2 中的狗设计了一个 3D 打印的医用级硅胶支架,并增加了长度,因为该狗在使用商用装置后出现了皮肤溃疡:结果:两只狗对硅胶支架的耐受性都很好。支架的护理工作由主人负责,无需他人协助。他们表示,硅胶支架方便了对造口周围环境的清洁,而且由于该装置可以防止气管造口塌陷,因此他们对气道的通畅性更有信心了。在病例 1 中,首次插入支架 1 年后的气管镜检查显示气管造口的明显变化极小。在病例 2 中,3D 打印硅树脂支架导致皮肤溃疡缓解,狗狗舒适地佩戴着该装置,直到 13 个月后死于一种与之无关的疾病:插入硅胶支架是改善永久性气管造口犬家庭护理的一种简单而经济的方法。像病例 2 这样的大型犬可能会受益于定制设计的 3D 打印支架。
Long-term outcome of permanent tracheostomy management in two brachycephalic dogs using a commercial and a three-dimensional-printed silicone stent.
Objective: To report the long-term outcome of utilization of a silicone stent to support the management of a permanent tracheostomy.
Study design: Short case series.
Animals: Two client-owned brachycephalic dogs.
Methods: Two brachycephalic dogs with stage III laryngeal collapse underwent permanent tracheostomy. After the tracheostomy had healed, a silicone stent was inserted to support the stoma and facilitate home care. One dog wore a commercially available silicone stent for the follow-up period of 2 years. For the dog in Case 2, a 3D-printed, medical-grade silicone stent with an increased length was designed, as the dog had developed skin sores from the commercial device.
Results: Both dogs tolerated the silicone stent well. Stent care was managed by the owners without need for assistance. They reported that the silicone stent facilitated cleaning of the stoma surroundings and that they felt an increased confidence in airway patency, as the device prevented the tracheal stoma from collapsing. In Case 1, tracheoscopy 1 year after first stent insertion revealed minimal visible changes to the tracheal stoma. In Case 2, the 3D printed silicone stent led to a remission of skin sores and the dog wore the device comfortably until succumbing to an unrelated disease 13 months later.
Conclusion: The insertion of a silicone stent is a simple and cost-effective method to improve home care of dogs with permanent tracheostomy. Larger dogs, as in Case 2, may benefit from custom-designed 3D-printed stents.
期刊介绍:
Veterinary Surgery, the official publication of the American College of Veterinary Surgeons and European College of Veterinary Surgeons, is a source of up-to-date coverage of surgical and anesthetic management of animals, addressing significant problems in veterinary surgery with relevant case histories and observations.
It contains original, peer-reviewed articles that cover developments in veterinary surgery, and presents the most current review of the field, with timely articles on surgical techniques, diagnostic aims, care of infections, and advances in knowledge of metabolism as it affects the surgical patient. The journal places new developments in perspective, encompassing new concepts and peer commentary to help better understand and evaluate the surgical patient.