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Application of difficult endotracheal intubation under fluoroscopy in otorhinolaryngology head and neck surgery

  • Head and Neck
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Abstract

Purpose

Thyroid cancer, laryngeal cancer and retrosternal goiter are common diseases of head and neck, which often causes difficulty breathing and dyspnea. However, it is usually hard to use conventional methods to deal with this problem. The purpose of this study was to evaluate the safety and effectiveness of an interventional technique for difficult endotracheal intubation (DEI) caused by head and neck diseases.

Methods

We retrospectively analyzed the clinical data of 35 patients who underwent an interventional technique for difficult endotracheal intubation and evaluated the efficacy of this approach and observe postoperative pulse oxygen saturation (SpO2), Hugh–Jones grade, and complications.

Results

The procedures were successfully completed in all patients who underwent DEI. The technical and clinical success rate of the procedures was 100%. The average procedure duration was 3.2 ± 1.1 min (range 1–5 min). The patients’ postoperative SpO2 and Hugh–Jones grade improved, and dyspnea symptoms resolved. There were no serious EI-related complications.

Conclusions

Interventional EI under fluoroscopy is a safe, simple, and fast method for accurate intubation and an effective method for DEI; furthermore, it allows for subsequent clinical treatment.

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Availability of data and materials

The data sets used or analysed during the current study is available from the corresponding author on reasonable request.

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Funding

No funding was received to assist with the preparation of this manuscript.

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Authors and Affiliations

  1. Department of Interventional Radiology, The First Affiliated Hospital of Zhengzhou University, No. 1, Jianshe Road, Zhengzhou, 450052, China

    Chenchen Zhang, Shuai Wang, Meipan Yin, Yaozhen Ma & Gang Wu

  2. Department of Otorhinolaryngology, Head and Neck Surgery, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, 450052, China

    Jianzhong Sang, Liang Wang, Yamin Zhang & Jin Sun

Authors
  1. Chenchen Zhang
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  2. Shuai Wang
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  3. Jianzhong Sang
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  4. Liang Wang
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  5. Yamin Zhang
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  6. Jin Sun
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  7. Meipan Yin
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  8. Yaozhen Ma
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  9. Gang Wu
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Contributions

All authors contributed to the study conception and design. Material preparation, data collection and analysis were performed by CZ, SW, MY, and YM. The first draft of the manuscript was written by CZ and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Gang Wu.

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Conflict of interest

The Authors declare that there is no conflict of interest.

Ethics approval

This is an observational study. The First Affiliated Hospital of Zhengzhou University Research Ethics Committee has confirmed that no ethical approval is required.

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Informed consent was obtained from all individual participants included in the study.

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Zhang, C., Wang, S., Sang, J. et al. Application of difficult endotracheal intubation under fluoroscopy in otorhinolaryngology head and neck surgery. Eur Arch Otorhinolaryngol 279, 5401–5405 (2022). https://doi.org/10.1007/s00405-022-07456-x

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  • DOI: https://doi.org/10.1007/s00405-022-07456-x

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