Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2022, Vol. 36 ›› Issue (1): 106-110.doi: 10.6040/j.issn.1673-3770.0.2021.056

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Application of visual laryngoscope in surgical anesthesia of children with congenital tongue base cyst

ZHAO Haitao1, WANG Yafang2, HE LI2, CHEN Wenjing1, XING Minzhe1, ZHENG Wenjuan2, YAN Yuyan2, LIU Xiaofeng2   

  1. 1. Department of Anesthesiology, Hebei Children's Hospital, Shijiazhuang 050031, Hebei, China;
    2. Department of Otorhinolaryngology, Hebei Children's Hospital, Shijiazhuang 050031, Hebei, China
  • Published:2022-02-22

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Abstract: Objective To explore the clinical effect and safety of visual laryngoscope and traditional laryngoscope in tracheal intubation in children with congenital tongue base cyst. Methods Seventy-two children(dyspnea grade I-II)scheduled for resection of tongue base cyst were randomly divided into two groups: traditional laryngoscope group(group M)and visual laryngoscope group(group G). The intubation time, success rate of intubation, failure rate of intubation, glottic exposure and airway injury were recorded. The saturation of pulse oxygen(SpO2), heart rate(HR)and mean arterial pressure(MAP)before and during intubation were observed. Results The tracheal intubation time of group G was shorter than that of group M, the success rate of one-time intubation was higher than that of group M, the intubation failure rate and airway injury of group G were lower than those of group M(P<0.05); HR and MAP increased significantly during intubation, especially in group M. Conclusion For children with Ⅰ-Ⅱ mild dyspnea caused by congenital tongue base cyst,the application of video laryngoscope in endotracheal intubation can shorten the time of endotracheal intubation, improve glottic exposure level, improve the success rate of one-time intubation, and ensure the safety of children to the greatest extent. It was worthy of clinical application.

Key words: Visual laryngoscope, Tracheal intubation, Tongue base cyst, Child

CLC Number: 

  • R767
[1] 朱增辉, 孟洋, 赵怀志, 等. 低温等离子射频消融术治疗先天性舌根囊肿一例[J]. 中华耳鼻咽喉头颈外科杂志, 2015,50(9): 775-776. doi:10.3760/cma.j.issn.1673-0860.2015.09.016.
[2] Eom M, Kim YS. Asphyxiating death due to basal lingual cyst(thyroglossal duct cyst)in two-month-old infant is potentially aggravated after central catheterization with forced positional changes[J]. Am J Forensic Med Pathol, 2008, 29(3): 251-254. doi:10.1097/PAF.0b013e31817efb0a.
[3] 郑铁华, 尹泓. 新生儿先天性会厌囊肿切除术麻醉管理二例[J]. 临床麻醉学杂志, 2013, 29(12): 1238.
[4] 于金辉, 王艳. SMT-Ⅱ可视喉镜在急诊困难气道经口插管的临床研究[J]. 中华外科杂志, 2017, 55(7): 549-553. doi:10.3760/cma.j.issn.0529-5815.2017.07.014. YU Jinhui, WANG Yan. Clinical study of SMT-Ⅱvideo laryngoscope with difficult airway intubation in emergency department[J]. Chinese Journal of Surgery, 2017, 55(7): 549-553. doi:10.3760/cma.j.issn.0529-5815.2017.07.014.
[5] 黄选兆,汪吉宝,孔维佳. 实用耳鼻咽喉头颈外科学[M]. 2版. 北京: 人民卫生出版社, 2007:446-448.
[6] 王桂香, 张杰, 赵靖, 等. 婴幼儿舌根囊肿的诊断及围手术期治疗要点[J]. 山东大学耳鼻喉眼学报, 2015, 29(3): 62-64. doi:10.6040/j.issn.1673-3770.0.2015.004. WANG Guixiang, ZHANG Jie, ZHAO Jing, et al. Diagnosis and perioperative treatment of tongue base cyst in infants[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2015, 29(3): 62-64. doi:10.6040/j.issn.1673-3770.0.2015.004.
[7] Kayhan FT, Yigider AP, Koc AK, et al. Treatment of tongue base masses in children by transoral robotic surgery[J]. Eur Arch Otorhinolaryngol, 2017, 274(9): 3457-3463. doi:10.1007/s00405-017-4646-0.
[8] 郭宇峰, 高兴强. 低温等离子射频消融术治疗新生儿先天性舌根囊肿的临床疗效[J]. 中国耳鼻咽喉头颈外科, 2017, 24(12): 644-646. doi:10.16066/j.1672-7002.2017.12.011. GUO Yufeng, GAO Xingqiang. Clinical efficacy of low-temperature radiofrequency ablaion for the treatment of neonatal tongue base cyst[J]. Chinese Archives of Otolaryngology-Head and Neck Surgery, 2017, 24(12): 644-646. doi:10.16066/j.1672-7002.2017.12.011.
[9] 王春, 金泉英. 小儿先天性舌根囊肿切除术的麻醉处理五例[J]. 临床麻醉学杂志, 2013,29(3): 310.
[10] 赵海涛, 石磊, 刘晓江, 等. 婴儿先天性舌根囊肿的麻醉处理[J]. 河北医药, 2013, 35(9): 1370-1371. doi:10.3969/j.issn.1002-7386.2013.09.049.
[11] 于布为, 吴新民, 左明章, 等. 困难气道管理指南[J]. 临床麻醉学杂志, 2013, 29(1): 93-98.
[12] Vivek B, Sripriya R, Mishra G, et al. Comparison of success of tracheal intubation using Macintosh laryngoscope-assisted Bonfils fiberscope and Truview video laryngoscope in simulated difficult airway[J]. J Anaesthesiol Clin Pharmacol, 2017, 33(1): 107-111. doi:10.4103/0970-9185.202198.
[13] 刘亚洋, 薛富善, 李慧娴, 等. 视频喉镜在患儿气道管理中的应用进展[J]. 临床麻醉学杂志, 2018, 34(6): 609-612. doi:10.12089/jca.2018.06.021.
[14] 梁开远, 黄光梅, 李泽均, 等. UE可视喉镜在急诊剖宫产患儿床边气管插管术中的应用[J]. 临床麻醉学杂志, 2020, 36(6): 559-562. doi:10.12089/jca.2020.06.009. LIANG Kaiyuan, HUANG Guangmei, LI Zejun, et al. Application of UE glidescope in the bedside endotracheal intubation of children during emergency Caesarean section[J]. Journal of Clinical Anesthesiology, 2020, 36(6): 559-562. doi:10.12089/jca.2020.06.009.
[15] 王俊林, 黄洪强, 施晓华, 等. HC可视喉镜在新生儿唇裂手术的应用[J]. 临床麻醉学杂志, 2014, 30(8): 785-787. WANG Junlin, HUANG Hongqiang, SHI Xiaohua, et al. The clinical application of HC video laryngoscope intubation in the neonate with a cleftlip[J]. Journal of Clinical Anesthesiology, 2014, 30(8): 785-787.
[16] 何伟, 黄梦朦, 刘铁帅, 等. HC视频喉镜与macintosh直接喉镜引导患儿气管插管术效果的比较[J]. 中华麻醉学杂志, 2014(11): 1357-1360. doi:10.3760/cma.j.issn.0254-1416.2014.11.020. HE Wei, HUANG Mengmeng, LIU Tieshuai, et al. Comparison of HC video-laryngoscope and Macintosh direct laryngoscope for tracheal intubation in pediatric patients[J]. Chinese Journal of Anesthesiology, 2014(11): 1357-1360. doi:10.3760/cma.j.issn.0254-1416.2014.11.020.
[17] 韩传宝, 周钦海, 刘存明, 等. 纤维支气管镜在困难气管插管中的应用[J]. 临床麻醉学杂志, 2014, 30(1): 90-92. HAN Chuanbao, ZHOU Qinhai, LIU Cunming, et al. Journal of Clinical Anesthesiology[J]. Journal of Clinical Anesthesiology, 2014, 30(1): 90-92.
[18] 陈卓毅, 林创兴. 纤维支气管镜在新生儿困难气管插管中的应用[J]. 中国内镜杂志, 2016, 22(5): 97-98. doi:10.3969/j.issn.1007-1989.2016.05.021. CHEN Zhuoyi, LIN Chuangxing. Fiber bronchoscopy in neonatal difficult tracheal intubation[J]. China Journal of Endoscopy, 2016, 22(5): 97-98. doi:10.3969/j.issn.1007-1989.2016.05.021.
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