使用锥形束计算机断层扫描在鼻气管插管中选择合适的鼻孔。

IF 2.9 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Dento maxillo facial radiology Pub Date : 2024-10-01 DOI:10.1093/dmfr/twae038
Funda Arun, Derya Icoz, Ahmet Akti, Gokhan Gurses
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引用次数: 0

摘要

目的:鼻气管插管是一种标准的盲插术,会引起各种并发症。选择合适的鼻孔对于预防大多数并发症至关重要。本研究旨在评估 CBCT 图像对选择正确鼻孔进行鼻气管插管的预测能力:研究涵盖了 60 名在全身麻醉下接受颌面手术并进行鼻气管插管的患者。麻醉师在临床上根据简单的咬合试验和刮匙试验选择合适的鼻孔,而放射科医生则在分析了各种 CBCT 结果(如鼻中隔偏曲(NSD)的角度和方向、插管路径上的最小骨距以及是否存在下鼻甲肥大)后做出选择。研究使用描述性统计、卡方检验和独立样本 t 检验评估了不同时间盲法选择的适当性:研究发现,83.3% 的建议鼻孔插管成功。我们还观察到,下鼻甲肥大时插管持续时间较长(p = 0.031)。然而,鼻衄与鼻中隔偏曲之间没有统计学关系(p = 0.395)。然而,在 64.3% 的鼻衄病例中,插管鼻孔和鼻中隔偏曲的方向是一致的:结论:使用 CBCT 进行术前评估有助于麻醉师发现鼻中隔偏曲和鼻甲肥大,因为两者都会影响插管成功率和持续时间。
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Using cone-beam CT for appropriate nostril selection in nasotracheal intubation.

Objectives: Nasotracheal intubation is a standard blind procedure associated with various complications. The selection of the appropriate nostril is crucial to preventing most of these complications. The present study aimed to evaluate the predictive ability of cone-beam CT (CBCT) images to select the correct nostril for nasotracheal intubation.

Methods: The study encompassed 60 patients who underwent maxillofacial surgery with nasotracheal intubation under general anaesthesia. While the anaesthetist made the appropriate nostril selection clinically according to a simple occlusion test and spatula test, the radiologist made the selection after analysing various CBCT findings such as the angle and direction of nasal septum deviation (NSD), minimum bone distance along the intubation path, and the presence of inferior turbinate hypertrophy. The appropriateness of these choices made blindly at different times was evaluated using descriptive statistics, chi-squared test, and independent samples t-test.

Results: The study found that 83.3% of the suggested nostril intubations were successful. We also observed that intubation duration was longer when inferior turbinate hypertrophy was present (P = .031). However, there was no statistical relationship between the presence of epistaxis and septal deviation (P = .395). Nonetheless, in 64.3% of cases with epistaxis, the intubated nostril and the septum deviation direction were the same.

Conclusions: Pre-operative evaluations using CBCT can aid anaesthetists for septum deviation and turbinate hypertrophy, as both can impact intubation success rates and duration.

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来源期刊
CiteScore
5.60
自引率
9.10%
发文量
65
审稿时长
4-8 weeks
期刊介绍: Dentomaxillofacial Radiology (DMFR) is the journal of the International Association of Dentomaxillofacial Radiology (IADMFR) and covers the closely related fields of oral radiology and head and neck imaging. Established in 1972, DMFR is a key resource keeping dentists, radiologists and clinicians and scientists with an interest in Head and Neck imaging abreast of important research and developments in oral and maxillofacial radiology. The DMFR editorial board features a panel of international experts including Editor-in-Chief Professor Ralf Schulze. Our editorial board provide their expertise and guidance in shaping the content and direction of the journal. Quick Facts: - 2015 Impact Factor - 1.919 - Receipt to first decision - average of 3 weeks - Acceptance to online publication - average of 3 weeks - Open access option - ISSN: 0250-832X - eISSN: 1476-542X
期刊最新文献
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