Application Of Modified Cricothyrotomy In The Multiplane Surgery For Severe Obstructive Sleep Apnea Hypopnea Syndrome

Objective To explore the clinical value of modified cricothyrotomy in the multiplane surgery under general anesthesia for patients with severe obstructive sleep apnea hypopnea syndrome(OSAHS).Methods To analyze the clinical data and postoperative effects of 26 patients with severe OSAHS treated with a concurrent multiplane surgery under the condition of modified cricothyrotomy with general anesthesia in our department in the recent 3 years.In the first,General anesthesia was carried out by inserting trachea cannula through mouth,and then,modified cricothyrotomy was performed by means of a transverse incision,followed we pull out trachea cannula and insert a endotracheal tube through thyrocricoid incision.After those procedures,a multiplane operation was done under such a condition to treat severe OSAHS concurrently.Result All these patients were in a good condition and were sent back to the general ward instead of ICU after the operation,with no cervical subcutaneous emphysema occured.one case of them bled slightly from the cervical incision and one case of them had an apparent cough during the period of hospital.Tracheal tube was pulled out successfully among these cases within 5 to 10 days.By the end of following up period for 3 months,all cervical incision of them recovered well except a dissatisfied patient due to adhesion and pull of the cervical cicatrice.After six months offollow-up,all patients recovered well and were satisfied with their surgery and rehabilitation efficacy.Conclusion Modified cricothyrotomy is safe to perform,with few complications occurring and inconspicuous postoperative scar in the region of incision.There was no significant difference between it's surgical complications and tracheotomy's and It is also easier to operate than tracheotomy.Such a procedure may ensure the concurrent multiplane operation on cases with severe OSAHS performed safely as possible as it can.