The evaluation of a scoring system in airway management after oral cancer surgery / 대한악안면성형재건외과학회지
Maxillofacial Plastic and Reconstructive Surgery
;
: 19-2015.
Artículo
en Inglés
| WPRIM
| ID: wpr-20554
ABSTRACT
BACKGROUND:
The purpose of this retrospective study was to investigate the usefulness of tracheostomy scoring system in the decision of postoperative airway management in oral cancer patients. MATERIALS ANDMETHODS:
A total of 104 patients were reviewed in this retrospective study, who underwent radical resection with or without neck dissection and free flap reconstruction due to oral cancer. The patients were classified into three groups according to the timing of the extubation; extubated groups (n = 51), overnight intubation group (n = 45), and tracheostomy group (n = 8). Cameron's score was used to evaluate the relation between the state of the patient's airway and the type of the operation.RESULTS:
Tracheostomy was performed in eight patients (8/104, 7.7 %). A total of 22 patients (21.2 %) had more than 5 points of which 17 patients (77.3 %) did not have a tracheostomy and any postoperative emergency airway problems. The tracheostomy scores were significantly different among the three groups. Hospital stay showed a significant correlation with the tracheostomy score.CONCLUSIONS:
The scoring system did not quite agree with the airway management of the authors' clinic; however, it can be one of the clinical factors predicting the degree of the postoperative airway obstruction and surgical aggressiveness for recovery. The further studies are needed for clinically more reliable scoring systems.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Disección del Cuello
/
Neoplasias de la Boca
/
Traqueostomía
/
Estudios Retrospectivos
/
Obstrucción de las Vías Aéreas
/
Urgencias Médicas
/
Colgajos Tisulares Libres
/
Manejo de la Vía Aérea
/
Intubación
/
Tiempo de Internación
Tipo de estudio:
Estudio observacional
/
Estudio pronóstico
Límite:
Humanos
Idioma:
Inglés
Revista:
Maxillofacial Plastic and Reconstructive Surgery
Año:
2015
Tipo del documento:
Artículo
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