Perioperative management for pediatric transoral surgery
WANG Jianhua
XIA Hong
YIN Qingshui
MA Xiangyang
AI Fuzhi
DAI Jianqiang
DENG Xiaoling
Abstract：Objective To explore perioperative management for transoral surgery in children, and to reduce the incidence of postoperative complications. Methods From March 2007 to December 2012, 18 children with upper cervical diseases underwent transoral surgery and were received perioperative management in Guangzhou General Hospital of Guangzhou Military Command. Postoperative spinal cord functional restoration, decompression and pharyngolaryngeal wound healing were observed. Results Japanese Orthopaedic Association (JOA) scores and cervicomedullary angle (CMA) were improved from preoperative (9.1 ± 1.5), (135 ± 14)° to postoperative (14.5 ± 2.1) and (156 ± 10)° respectively, the differences had statistical significance (P <0.05). No incision infection had happened, and wound healing was obtained in 8-10 d in all children. Conclusion Perioperative management including thorough preoperative examinations and evaluations, strict perioperative mouth care, intensive postoperative airway management and early nutrition support, could reduce incidence of postoperative complications effectively for pediatric transoral surgery, ensure safty of surgery and improve clinical effects.
Keywords：Cervical vertebraeTransoral surgeryPerioperative periodPostoperative complicationsChild
Publication Date：2013-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 143-147 )