Simulation-Guided Tracheotomy in a Patient With Fibrodysplasia Ossificans Progressiva

被引：5

作者：

Padia, Reema ^{[1
]}

Miller, Craig ^{[1
]}

Patak, Lance ^{[2
]}

Friedman, Seth D. ^{[3
]}

Stone, Kimberly ^{[4
,5
]}

Otjen, Jeffrey ^{[3
]}

Johnson, Kaalan ^{[1
]}

机构：

[1] Seattle Childrens Hosp, Div Otolaryngol Head & Neck Surg, M-S OA-9220,POB 5371, Seattle, WA 98145 USA

[2] Seattle Childrens Hosp, Dept Anesthesiol, Seattle, WA USA

[3] Seattle Childrens Hosp, Dept Radiol, Seattle, WA USA

[4] Univ Washington, Sch Med, Div Pediat, Div Emergency Med, Seattle, WA USA

[5] Seattle Childrens Hosp, Washington, DC USA

来源：

LARYNGOSCOPE | 2019年 / 129卷 / 04期

关键词：

Fibrodysplasia ossificans progressiva; difficult airway; difficult tracheotomy; three-dimensional model; simulation;

D O I：

10.1002/lary.27520

中图分类号：

R-3 [医学研究方法]; R3 [基础医学];

学科分类号：

1001 ;

摘要：

Fibrodysplasia ossificans progressiva (FOP) is a rare disorder that causes heterotopic bone formation leading to chest wall and spinal deformities. This case describes an 11-year-old female with FOP who presented in respiratory failure necessitating two emergent fiberoptic nasotracheal intubations. The patient had severe trismus, rotary flexion of the neck, and distortion of the airway. A three-dimensional printed model based off of a computed tomography reconstruction was created for an in situ simulation before the true procedure. The surgery and trach change were both uneventful. We propose that with careful preoperative planning, tracheotomy can be an appropriate option for FOP patients. Laryngoscope, 129:812-817, 2019

引用

页码：812 / 817

页数：6

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