Application of upright seated and head down tongue protrusion technique in the completely exposure of the epiglottic surface under electronic laryngoscopy

XING Zhong-cheng; LIU Yong-gang; ZHU Xiao-ling; LI Wei; LIU Pan; LIU Wen

doi:10.11659/jjssx.01E023001

您当前的位置：

首页 >

文章列表页 >

Application of upright seated and head down tongue protrusion technique in the completely exposure of the epiglottic surface under electronic laryngoscopy

Technique and Method | 更新时间：2023-12-13

- Application of upright seated and head down tongue protrusion technique in the completely exposure of the epiglottic surface under electronic laryngoscopy
- JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY Vol. 32, Issue 12, Pages: 1080-1081(2023)
- 作者机构：
  
  1.徐州医科大学研究生院，江苏徐州 221004
  2.徐州医科大学临床学院淮北市人民医院耳鼻喉科，安徽淮北 235000
  3.徐州医科大学附属医院耳鼻喉科，江苏徐州 221000
- 作者简介：
- 基金信息：
- DOI：10.11659/jjssx.01E023001
  CLC： R604
- Published：25 December 2023，
  
  Received：01 January 2023，
扫描看全文
邢忠诚,刘永刚,朱晓玲等.端坐位低头伸舌法在电子喉镜完全暴露会厌舌面中的应用[J].局解手术学杂志,2023,32(12):1080-1081.

XING Zhong-cheng,LIU Yong-gang,ZHU Xiao-ling,et al.Application of upright seated and head down tongue protrusion technique in the completely exposure of the epiglottic surface under electronic laryngoscopy[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2023,32(12):1080-1081.
邢忠诚,刘永刚,朱晓玲等.端坐位低头伸舌法在电子喉镜完全暴露会厌舌面中的应用[J].局解手术学杂志,2023,32(12):1080-1081. DOI： 10.11659/jjssx.01E023001.

XING Zhong-cheng,LIU Yong-gang,ZHU Xiao-ling,et al.Application of upright seated and head down tongue protrusion technique in the completely exposure of the epiglottic surface under electronic laryngoscopy[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2023,32(12):1080-1081. DOI： 10.11659/jjssx.01E023001.

摘要

目的

研究电子喉镜下端坐位+低头（30°~45°）+伸舌法完全暴露会厌舌面的临床应用价值。

方法

根据喉镜室电子喉镜的临床检查过程，针对会厌舌面暴露困难患者，采用2种方法进行检查：①端坐位+伸舌法；②端坐位+低头（30°~45°）+伸舌法。比较2种方法暴露会厌舌面的患者比例。

结果

采用端坐位+伸舌法进行电子喉镜检查，约73.91%的会厌舌面暴露困难患者可清晰暴露会厌舌面。采用端坐位+低头（30~45）°+伸舌法，结合操作者控制喉镜软管前端镜头游离进会厌舌根间隙，进行近距离探查，可100%清晰探及会厌舌面。

结论

采用端坐位+低头（30°~45°）+伸舌法对会厌舌面暴露困难的患者进行电子喉镜检查，可完全暴露会厌舌面，临床效果显著，可作为普通端坐位或普通端坐位+伸舌法会厌舌面暴露困难患者的补充检查方法，有一定的临床应用价值。

Abstract

Objective

To study the clinical application value of the upright seated + head down （30° to 45°） + tongue protrusion technique for the completely exposure of the epiglottic surface under electronic laryngoscopy.

Methods

Based on the clinical examination process of electronic laryngoscopy in the laryngoscopy room， two methods were applied for the patients with difficulty in exposing the epiglottic surface： ① upright seated + tongue protrusion； ② upright seated + head down （30° to 45°） + tongue protrusion. The proportions of patients exposed to the epiglottic surface by these two methods were compared.

Results

The electronic laryngoscopy examination used the upright seated + tongue protrusion technique allowed for the clear exposure of the epiglottic surface in approximately 73.91% of patients with exposure difficulty. By using the upright seated + head down （30° to 45°） + tongue protrusion technique， combined with the operator's control over the free movement of the laryngoscope's front end lens into the epiglottic vallecula space for close-range exploration， a 100% clear exploration of the epiglottic surface was achieved.

Conclusion

The upright seated + head down （30° to 45°） + tongue protrusion technique for electronic laryngoscopy examination in patients with difficulty in exposing the epiglottic surface can completely expose the epiglottic surface， with significantly clinical effect. It can be used as a supplementary examination method for patients with difficulty in exposing the epiglottic surface in the ordinary upright seated or upright seated + tongue protrusion technique， and has certain clinical application value.

关键词

电子喉镜检查低头伸舌法暴露会厌舌面

Keywords

electronic laryngoscopyexaminationhead down tongue protrusion techniqueexposure of the epiglottic surface

references

李闯.电子鼻咽喉镜在耳鼻喉科中的临床应用［J］.中国医药指南，2017，15（35）：93-94.doi：10.15912/j.cnki.gocm.2017.35.075http://dx.doi.org/10.15912/j.cnki.gocm.2017.35.075.

冯丹.电子喉镜在耳鼻喉疾病患者中的应用价值［J］.中国药物经济学，2015，10（9）：115-117.

杨依贤.电子喉镜检查应用于耳鼻咽喉科健康体检探讨［J］.医药前沿，2015，5（27）：190-191.doi：10.3969/j.issn.2095-1752. 2015.27.175http://dx.doi.org/10.3969/j.issn.2095-1752.2015.27.175.

林川耀，陆玲，张标，等.电子喉镜在咽喉部肿物活检中的临床应用及病理分析［J］.中国内镜杂志，2018，24（9）：1-6.doi：10.3969/j.issn.1007-1989.2018.09.001http://dx.doi.org/10.3969/j.issn.1007-1989.2018.09.001.

田天捷，张自雄，陈发胜，等.可视喉镜下低温等离子射频治疗多发会厌囊肿［J］.中国微创外科杂志，2018，18（12）：1143.doi：10.3969/j.issn.1009-6604.2018.12.025http://dx.doi.org/10.3969/j.issn.1009-6604.2018.12.025.

刘志锋，江青山，鲁科利，等.显微镜下CO2激光与内窥镜下喉剪治疗会厌囊肿的疗效比较［J］.中南医学科学杂志，2018，46（4）：420-423.doi：10.15972/j.cnki.43-1509/r.2018.04.024http://dx.doi.org/10.15972/j.cnki.43-1509/r.2018.04.024.

Yoon TM，Choi JO，Lim SC，et al.The incidence of epiglottic cysts in a cohort of adults with acute epiglottitis［J］.Clin Otolaryngol，2010，35（1）：18-24.doi：10.1111/j.1749-4486.2009.02069.xhttp://dx.doi.org/10.1111/j.1749-4486.2009.02069.x.

Pattni V，Porter G，Omakobla E.An unusual presentation of an infected vallecular cyst presenting as supraglottitis［J］.BMJ Case Rep，2013，2013（4）：350-353.doi：10.1136/bcr-2013-009180http://dx.doi.org/10.1136/bcr-2013-009180.

Pulser S，Antippa P.Maneuver to assist examination of the hypopharynx［J］.Head Neck，1995，17（5）：389-393.doi：10.1002/hed. 2880170505http://dx.doi.org/10.1002/hed.2880170505.

Sakai A，Okami K，Sugimoto R，et al.A new technique to expose the hypopharyngeal space：the modified Killian's method［J］.Auris Nasus Larynx，2014，41（2）：207-210.doi：10.1016/j.anl.2013. 10.012http://dx.doi.org/10.1016/j.anl.2013.10.012.

祝宝莲，黄月娥，侯瑾.电子喉镜下自主抬头前屈法在暴露环后区的临床应用［J］.中华耳鼻咽喉头颈外科杂志，2019，54（4）：297-299.doi：10.3760/cma.j.issn.1673-0860.2019.04.012http://dx.doi.org/10.3760/cma.j.issn.1673-0860.2019.04.012.

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

No data

Related Author

No data

Related Institution

No data

⁰