Gönül ÖLMEZ, Ali Mehmet ÖZYILMAZ, Müzeyyen YILDIRIM

Nazotrakeal entübasyon ile ilişkili nazal hasarlanma değişiklikleri

Nazotrakeal entübasyon baş, boyun ve maksillofasial cerrahide daha iyi görüş ve manevra alanı sağlamaktadır. Yol açacağı düşünülen hasarlanmalar ile ilgili kaygılar, bu tekniğin yaygın kullanımını kısıtlamaktadır. Prospektif ve çift-kör olarak planlanan çalışmamızda, maksillofasial cerrahi operasyonu geçirecek olan 45 yetişkin hastaya nazotrakeal entübasyon uygulandı. Nazal hasarlanma ve kanama ile ilişkili özellikler araştırıldı. Hiçbir hastada ciddi bir mukozal kaşarlanmaya veya şiddetli kanamaya rastlanmadı. Entübe kalma süresi ile nazal hasarlanma arasında korelasyon bulunmadı. Entübasyon deneme sıklığı arttıkça kana¬ma sıklığının arttığı, fakat mukozal hasarlanma ile ilişkisinin olmadığı gözlendi. Nazal hazırlık yapılması ve yumuşak tüp kullanılmasının kanama insidansını ve mukozal hasarlanmayı azaltacağı sonucuna varıldı.

Anahtar Kelimeler:

Entübasyon, İleriye dönük çalışma, Cerrahi, oral

Pathological changes related with nasotracheal intubation

Nasotracheal intubation offers better view and surgical area in head, neck and maxillofacial surgery. However, widespread use of this technique is restricted by concerns on the risk of damage. In this prospective and double-blinded study, nasotracheal intubation was performed in 45 adult patients who underwent maxillofacial surgery. The incidence of nasal damage and hemorrhage were investigated. There was no nasal damage or severe hemorrhage in any patient. There was no correlation between nasal injury and duration of intubation. Bleeding frequency was raised by intubation attend frequency but there was no relation between intubation attend frequency and mucosal injury. Results of this study suggest that performing nasal preparation and the use of a soft tube reduces the incidence of hemorrhage and mucosal damage.

Keywords:

Intubation, Prospective Studies, Surgery, Oral,

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