Journal of the Korean Association of Oral and Maxillofacial Surgeons

  • 제36권3호
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  • Pages.197-201
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  • 2010
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  • 2234-7550(pISSN)
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  • 2234-5930(eISSN)
대한구강악안면외과학회 (The Korean Association of Oral and Maxillofacial Surgeons)
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Nasotracheal intubation시 비강 내 외상을 줄이기 위한 술전 computed tomography를 이용한 평가 및 전처지

Computed tomography evaluation and pretreatment for a safe nasotracheal intubation, avoiding nasal cavity injuries

  • 김한림 (중앙대학교 의과대학 치과학교실 구강악안면외과) ;
  • 윤경인 (중앙대학교 의과대학 치과학교실 구강악안면외과) ;
  • 김경수 (중앙대학교 의과대학 이비인후과학교실) ;
  • 강현 (중앙대학교 의과대학 마취과학교실) ;
  • 최영준 (중앙대학교 의과대학 치과학교실 구강악안면외과)
  • Kim, Han-Lim (Departments of Oral and Maxillofacial Surgery, College of Medicine, Chung-Ang University) ;
  • Yun, Kyoung-In (Departments of Oral and Maxillofacial Surgery, College of Medicine, Chung-Ang University) ;
  • Kim, Kyung-Soo (Departments of Otolarygology, Head and Neck Surgery, College of Medicine, Chung-Ang University) ;
  • Kang, Hyun (Departments of Anesthesiology, College of Medicine, Chung-Ang University) ;
  • Choi, Young-Jun (Departments of Oral and Maxillofacial Surgery, College of Medicine, Chung-Ang University)
  • 투고 : 2010.03.23
  • 심사 : 2010.05.17
  • 발행 : 2010.06.30
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초록

Introduction: In a surgery of the oral cavity, nasotracheal intubation is often carried out to secure the surgical field. By passing a tracheal tube through the nasal cavity to the pharynx, the nasotracheal intubation can lead to complications that do not occur with oral intubation, such as nasal bleeding and submucosal aberration etc. The purpose of this study is to examine the method of CT evaluation and pretreatment for a safe nasotracheal intubation. Materials and Methods: Among 30 patients who orthognathic surgery was performed at Chung-Ang University Hospital during the period August 2009 to October 2009, 30 patients were included. The 30 patients were divided into two groups; 15 patients intubated with CT evaluation with pretreatment, and the other 15 patients intubated with no pretreatment. We evaluated nasal bleeding of the two groups during nasotracheal intubation. Results: CT evaluation with pretreatment group had a significantly lower incidence of nasal bleeding than the group with no pretreatment. Conclusion: CT evaluation with pretreatment helps to minimize nasal bleeding during nasotracheal intubation.

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