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作者等报告经口径路(TOA)达上颈椎的方法:全麻,患者取仰卧位,头固定于Mayfield托上。多数病例需行气管切开。用Dingman开口器牵开口腔和舌根。用两根红色橡皮导管经鼻腔插入由口腔引出,并在导管与腭之间放一硅橡胶板,将软腭向后上方拉开。正中垂直切开咽后壁粘膜,在直切口的上下端各附加一横切口,向两侧分开粘膜瓣,并将瓣游离缘缝线牵引,分开咽缩肌和前纵韧带,暴露颈椎。应用荧光屏监护手术的前、上界。于手术
The authors reported on the method of reaching the cervical spine by TOA: general anesthesia, the patient was supine, and the head was fixed on the Mayfield support. Most cases require tracheotomy. Use the Dingman opener to lift the mouth and base of the tongue. Two red rubber catheter inserted through the nasal cavity leads from the mouth, and put a silicon rubber sheet between the catheter and the palate, the soft palate opened backwards above. In the middle of the posterior pharyngeal mucosa perpendicular incision, in the straight incision at the top and bottom of each attached to a transverse incision, mucosal flap to both sides, and the traction flap free suture, separate the pharyngeal sphincter and anterior longitudinal ligament, exposing the cervical spine. Application screen monitoring operation before and after the upper bound. In surgery