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您当前的位置:   首页  >  SCI文献  >  The suction-assisted endoscopic suture technique: A simple method for endotracheal suturing.

The suction-assisted endoscopic suture technique: A simple method for endotracheal suturing.
影响因子：2.97 DOI：10.1002/lary.28199
作者： Charous SJ,Westfall E 发表时间：2020-08-28 09:33:55
from：《LARYNGOSCOPE》
keywords： Charous SJWestfall E
关键词：
Abstract
BACKGROUND:Silicone stents are commonly employed to treat subglottic stenosis. A frequent complication is the tendency of stents to migrate. As such, various techniques to secure stents have been developed over the years, none of which have gained large popularity. We present a novel, low-cost, and easy-to-perform technique herein. OBJECTIVES:To describe a novel surgical technique to secure silicone stents and prevent migration for management of subglottic stenosis. MATERIALS AND METHODS:After standard excision and dilation of stenotic portions in the subglottic or trachea. A silicone stent is introduced in a standard fashion. To secure the stent, an 18-G needle loaded with braided suture is inserted through skin, trachea, and stent. Endoscopic visualization then permits the surgeon to grasp the suture with forceps. A separate transcutaneous puncture site is performed with an 18-G needle attached to a 10-cc syringe (plunger removed) and blue tip suction within the empty syringe, creating an airtight suctioning tool. The grasped suture is gently introduced into the eye of the needle and quickly travels into the 10-cc syringe with suction assist, leaving both extracorporeal ends of the suture to tie. RESULTS:This stitch has been employed on seven occasions on four patients. There have been no episodes of stent migration. A laboratory model found the 18-G needle and braided 3-0 suture performed optimally. CONCLUSIONS:We present a novel surgical technique to secure silicone stents in management subglottic or tracheal stenosis. LEVEL OF EVIDENCE:Level 4 Laryngoscope, 130:E346-E348, 2020.
摘 要
期刊介绍
《LARYNGOSCOPE》 (点击进入期刊详情)
英文简介 : For more than 100 years, otolaryngologists, clinicians, and researchers around the world have read The Laryngoscope to keep pace with and learn how to take advantage of the most important advances in the diagnosis and treatment of head and neck disorders. Moreover, the journal is the first choice among otolaryngologists to publish their most important findings and share their own successful techniques with their colleagues.
中文简介 : （来自Google、百度翻译） 100多年来，世界各地的耳鼻喉科医生、临床医生和研究人员都阅读喉镜，以跟上并学习如何利用头颈部疾病诊断和治疗方面最重要的进展。此外，该杂志是耳鼻喉科医生的第一选择，发表他们最重要的发现，并与他们的同事分享他们自己的成功技术。
CIRCULATION RESEARCH 期刊中科院评价数据
新中科院分区
大类(学科) 小类(学科) 学科排名
医学

MEDICINE, RESEARCH & EXPERIMENTAL (医学：研究与实验)

OTORHINOLARYNGOLOGY (耳鼻喉科学)

73/133
12/41
新发布的期刊年发文量
年度总发文量 年度论文发表量 年度综述发表量
483 442 41

总被引频次 :22642

特征因子 : 0.026200

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