支撑喉镜下声带手术口咽部并发症的临床分析

目的探讨显微支撑喉镜下声带手术术后口咽部并发症的发生及原因。方法收集2011年3月～2011年11月全麻显微支撑喉镜下行声带手术患者63例，对其术后口咽部的并发症进行分析。结果全部病例顺利接受手术，发生口咽并发症37例（58．7％），其中牙齿损坏8例（12．7％）、牙痛牙酸13例（20．6％）、吞咽困难20例（31．7％）、下颌肿痛6例（9．5％）、味觉改变4例（6．3％）、口干17例（27％）和舌体麻木17例（27％）。并发症的发生与手术时间长短明显相关，发生于同一患者并发症的数量也与手术时间明显相关。结论显微支撑喉镜声带手术后并发的口咽症状发生率较高，但时间较短。减少手术时间可以减少一些并发症状的发生，并可通过手术技术和器械的改进减少并发症。

Oropharyngeal complications of self retaining laryngoscopic vocal surgery

Objective To investigate the occurrence and causes of oropharyngeal complications of self-retaining laryngoseopic （SRL） vocal surgery. Methods Sixty-three patients were included in this study. All the patients received self-retaining micro-laryngoscope vocal surgery under general anesthesia from March to November in 2011. Their oropharyngeal complications were analyzed prospectively. Results Vocal surgery was performed successfully in all patients. Minor oropharyngeal complications occurred in 37 patients with an incidence rate of 58.7 % , including dental injury （n=8; 12.7%）, toothache or sore teeth （n = 13; 20.6%）, difficulty in swallowing （n =20; 31.7%）, jaw pain （n = 6; 9. 5%）, taste alteration （n =4; 6. 3%）, dry mouth （n = 17; 27%） and numbness of tongue （ n = 17 ; 27 % ）. A correlation between operation time and risk of oropharyngeal complication was observed, and the number of complications in the same patient was also correlated with the operation time. Conclusion The incidence rate of minor oropharyngeal complications in SRL surgery is high, but most of them are temporal. The complication risk can be reduced by shortening operation time and improving operation skill and devices.