颌骨骨折合并颅底损伤患者经口底入路气管插管的临床效果

Clinical effect of mouth floor approach intubation in jaw fracture combined with brain injury

目的探讨经口底隧道入路气管插管在手术治疗颌骨骨折伴颅底伤患者中的效果。方法 2014年1月—2015年10月在佛山市中医院口腔医疗中心住院治疗的颌面部外伤患者7例,所有患者均有颅底损伤合并颌骨骨折。因不能采用常规经口腔或经鼻腔入路插管,7例患者均选用口底隧道入路插管。结果 7例患者术后伤口均获得一期愈合,颌面部皮肤瘢痕隐蔽,没有脱管等其他并发症发生。结论经口底隧道入路行气管插管麻醉适用于颌骨骨折合并颅底骨折患者的治疗。

Objective To explore the effects of mouth floor approach intubation in the treatment of jaw fracturecombined with skull base injury.Methods From Jan.2014to Oct.2015,7cases of jaw fracture combined with skullbase injury were selected from Medical center of Stomatology,Foshan Hospital of Traditional Chinese Medicine(FST?CM).All cases were treated with mouth floor approach intubation,because they were not suitable to be given the oral ornasal intubation anesthesia.Results All the patients healed well after operation,and there was no tube accident or oth?er complications.Conclusions For patients of jaw fracture combined with skull base injury,the mouth floor approachintubation could be recommended as a supplementary choice for traditional intubation methods.