Maxillofacial Plastic and Reconstructive Surgery

  • 제30권6호
  • /
  • Pages.604-607
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  • 2008
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  • 2288-8101(pISSN)
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  • 2288-8586(eISSN)
대한악안면성형재건외과학회 (Korean Association of Maxillofacial Plastic and Reconstructive Surgeons)
권호 표지

전안면골 외상 환자에서 턱밑 기관내 삽관에 대한 증례보고

SUBMENTAL INTUBATION IN PANFACIAL TRAUMA PATIENT : A CASE REPORT

  • 서동준 (연세대학교 치과대학 구강악안면외과학교실) ;
  • 김남균 (연세대학교 치과대학 구강악안면외과학교실) ;
  • 박세현 (연세대학교 치과대학 구강악안면외과학교실) ;
  • 강연희 (연세대학교 치과대학 구강악안면외과학교실) ;
  • 이성진 (연세대학교 의과대학 마취통증의학과교실) ;
  • 김형준 (연세대학교 치과대학 구강악안면외과학교실)
  • Seo, Dong-Jun (Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University) ;
  • Kim, Nam-Kyun (Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University) ;
  • Park, Se-Hyun (Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University) ;
  • Kang, Yeon-Hee (Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University) ;
  • Lee, Sung-Jin (Department of Anesthesiology, College of Medicine, Yonsei University) ;
  • Kim, Hyung-Jun (Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University)
  • 발행 : 2008.11.30
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초록

턱밑 기관내 삽관술은 기본적인 수술적 술기가 필요하지만, 간단하고 안전하며 술식이 빠른 장점을 가지고 있다. 또한 술 중 악간 고정이 가능하며, 수술 시야를 확보할 수 있으며, 술 후 합병증이 적고 기관절개술로 인한 부작용을 줄일 수 있다는 장점을 가지고 있다. 따라서 기본적인 술기의 습득과 마취과와의 협조가 동반된다면 많은 분야에서 사용 될 수 있는 방법이라고 생각된다.

The technique of submental intubation in patient with multiple facial fracture and skull base fracture was originally described by Altemir. Not only is intermaxillary fixation feasible when using this surgical technique but a good field of vision is acquirable, and postoperative complications due to tracheostomy can be prevented. After Altemir presented submental intubation, many modified techniques were reported, applicable not only to trauma patients but also to elective surgeries such as orthognathic surgery including Lefort II or III osteotomy. This technique is easy to use, rapid and free of complications compared to alternative intubation method especially tracheostomy for multiple facial trauma patients.

키워드

참고문헌

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