Accessories material for prevention or nasal alar necrosis risk reduction From nasotracheal intubation
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Abstract
Abstract
Introduction: Nasal alar necrosis is one of the most common complications of head and neck surgery caused by nasotracheal intubation. It can develop to be some serious problems such as scar, infection, alar deformity etc. In Ramathibodi hospital, we found many cases of alar necrosis after nasotracheal intubation. So we try to create and develop an accessories material for prevention or nasal alar necrosis risk reduction from nasotracheal intubation
Objective: To create and develop an accessories material for prevention or nasal alar necrosis risk reduction from nasotracheal intubation and to calculate the incidence of nasal alar necrosis after using the accessories material.
Methods: This was a prospective case series study of the patients who were undertaken oral cavity surgery that used the accessories material for prevention or nasal alar necrosis risk reduction between January 2018 and December 2019 at IPD ENT, Ramathibodi hospital. The collected data was used to calculate the incidence of nasal alar necrosis and the relationship between incidence of nasal alar necrosis and other relative factors.
Results: 18 patients were included in the study, the incidence of nasal alar necrosis from nasotracheal intubation after using Accessories material was 27.8%. Mean age of subjects without nasal alar necrosis is significantly (P value < 0.05) lower than mean age of subjects with nasal alar necrosis.
Conclusion: Using the accessories material in this study didn’t show the reduction of incidence of nasal alar necrosis from nasotracheal intubation.
Article Details
ต้นฉบับที่ส่งมาพิจารณายังวารสารหู คอ จมูก และใบหน้า จะต้องไม่อยู่ในการพิจารณาของวารสารอื่น ในขณะเดียวกันต้นฉบับที่จะส่งมาจะผ่านการอ่านโดยผู้ทรงคุณวุฒิ หากมีการวิจารณ์หรือแก้ไขจะส่งกลับไปให้ผู้เขียนตรวจสอบแก้ไขอีกครั้ง ต้นฉบับที่ผ่านการพิจารณาให้ลงตีพิมพ์ถือเป็นสมบัติของวารสารหู คอ จมูกและใบหน้า ไม่อาจนำไปลงตีพิมพ์ที่อื่นโดยไม่ได้รับอนุญาต
ตารางแผนภูมิ รูปภาพ หรือข้อความเกิน 100 คำที่คัดลอกมาจากบทความของผู้อื่น จะต้องมีใบยินยอมจากผู้เขียนหรือผู้ทรงลิขสิทธิ์นั้นๆ และใหร้ะบุกำกับไว้ในเนื้อเรื่องด้วย
References
2. Huang, W.S., Chou, T.D., Chen, T.M. et al, Nasal ala pressure sore: Easily missed complications of nasotracheal tube intubation. J Med Sci. 2002; 22:101.
3. National Pressure Ulcer Advisory Panel, European Pressure Ulcer Advisory Panel and Pan PacificPressure Injury Alliance. Prevention and Treatment of Pressure Ulcers: Quick Reference Guide.EmilyHaesler (Ed.). Cambridge Media: Osborne Park, Australia; 2014.
4. SonaiRastogi, TsheringBhutia et al. Nasal ala pressure sores following head and neck reconstructive surgery: A retrospective analysis from a tertiary cancer hospital. Indian J Anaesth. 2017 Jan; 6(1): 74-76.
5. Feng, P.H., So, E.C., Chu, C.C. et al, DuoDERM as a protective material to reduce painful nasal ala after nasotracheal intubation. Chin J Pain. 2005;15:59.
6. Tze-Ta Huang DDS, MS, Chih-En Tseng,MD.,Tsan-Mu Lee,MS, Preventing Pressure Sores of the Nasal Ala After Nasotracheal Tube Intubation: From Animal Model to Clinical Application. J Oral Maxillofacial Surgery. 67:543-551, 2009.
7. SrijonMokherji, Hemant Aggarwal, A Simple Technique of preventing Pressure Sores of the Nasal Ala during Prolonged Nasoendotracheal Intubation with Armored Tube. Jp-journals.10001-1162.
8. R.Anand, M.Turner et al. Use of polyvinyl acetyl sponge(Merocel) nasal pack to prevent alar necrosis during prolonged nasal intubation. British Journal of Oral and Maxillofacial Surgery 45(2007) 601.
9. Chen-Hwan Cherng, Yuan-Wu Chen, Using a modified nasotracheal tube to prevent nasal ala pressure sore during prolonged nasotracheal intubation. J Anesth (2010) 24:959–961.
10. Rahil Singh, NishantSood, SukhyantiKera, Use of Merocel® aids in prevention of nasal pressure ulcers following nasal intubation:Case series of 33 patients. Indian Journal of Anaesthesia (2017): Volume 61; 513-515.