The Experts below are selected from a list of 1206 Experts worldwide ranked by ideXlab platform
Yin Xin - One of the best experts on this subject based on the ideXlab platform.
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Improved Uvulopalatopharyngoplasty to Treat Snoring
2004Co-Authors: Yin XinAbstract:Objective To explore the effect of Uvulopalatopharyngoplasty to treat snoring.Methods Along the tonsil up pole to third molar teeth to cut soft plate,truncate some velopharyngeal and dilation of Nasopharynx muscle,expand Nasopharynx Airway,keep middle line muscle system,keep action function of soft palate,clear the fat and soft tissue in incision,suture the mucosa in incision,if uvula too long, could abscise 2/3,after that shaping.Results 56 cases in treatment,cure rate is 87%,and nasal cavity reflux complication is obvious fewer.Conclusion Use UPPP operation to treat snoring,the operation is easy and safe ,the complication are fewer,patient can recover quickly after receiving the operation.Therefore,it has better clinical value.
Ye Zhang - One of the best experts on this subject based on the ideXlab platform.
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Application of nasopharyngeal Airway combined with mask ventilation in the induction period of general anesthesia
Chinese Journal of Asthma, 2018Co-Authors: Ying Gao, Yujie Zhang, Ye ZhangAbstract:Objective To investigate the safety and efficacy of nasopharyngeal Airway combined with mask ventilation in the induction period of general anesthesia. Methods 40 patients with potential difficult mask ventilation (upper Airway obstruction) who needed general anesthesia with endotracheal intubation were randomly divided into nasopharyngeal Airway group and control group (20 per group). The vital signs (systolic blood pressure (SBP), diastolic blood pressure, heart rate) and ventilation related indexes (pulse oxygen saturation, end tidal carbon dioxide, peak Airway pressure) of two groups were observed and recorded at the time of entry (T1), before anesthesia induction (T2), 1 min after anesthesia induction (T3), 2 min after anesthesia induction (T4), 3 min after anesthesia induction (T5) and 1 min after endotracheal intubation (T6). Results The end tidal carbon dioxide at T4 in Nasopharynx Airway group was higher than that in control group (t=2.315, P 0.05). Conclusions The application of nasopharyngeal Airway combined with mask ventilation during general anesthesia induction is safe and effective. Key words: Nasopharyngeal Airway; Difficulty in ventilation; Mask ventilation; Anesthesia, general
Mauro Becker Martins Vieira - One of the best experts on this subject based on the ideXlab platform.
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Zetapalatopharyngoplasty: new surgical technique for snoring and sleep apnea treatment
International Congress Series, 2003Co-Authors: Mauro Becker Martins VieiraAbstract:Abstract We have made a modification in the classical uvulopalatopharyngoplasty (UPPP) technique with the intention to improve the functional result and, at the same time, to lower the complication risk by having a more controlled healing process. The procedure starts with a bilateral tonsillectomy preserving as much mucosa as possible. After the tonsillectomy, a zetaplasty is done in each side of the soft palate. A triangular flap with lateral base is created in the anterior tonsilar arch. A second triangular flap with medial base is created in the posterior tonsilar arch. The anterior arch flap is brought down and the posterior arch flap is brought up and both are sutured in place. After zetaplasty, a subtotal uvulectomy is done. The goal is to increase the Nasopharynx Airway with minimum tissue resection and to preserve the soft palate shape. Zetapalatopharyngoplasty (ZPPP) is the natural association of two established surgical techniques: UPPP and zetaplasty. Our experience has been encouraging and the procedure has become our surgical treatment of choice for sleep-related breath disorders. The procedure was done in 32 patients for treatment of snoring with or without apnea.
Li Cao - One of the best experts on this subject based on the ideXlab platform.
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High-flow nasal cannula improves clinical efficacy of Airway management in patients undergoing awake craniotomy.
BMC Anesthesiology, 2020Co-Authors: Zhoujing Yang, Li CaoAbstract:Awake craniotomy requires specific sedation procedure in an awake patient who should be able to cooperate during the intraoperative neurological assessment. Currently, limited number of literatures on the application of high-flow nasal cannula (HFNC) in the anesthetic management for awake craniotomy has been reported. Hence, we carried out a prospective study to assess the safety and efficacy of humidified high-flow nasal cannula (HFNC) Airway management in the patients undergoing awake craniotomy. Sixty-five patients who underwent awake craniotomy were randomly assigned to use HFNC with oxygen flow rate at 40 L/min or 60 L/min, or Nasopharynx Airway (NPA) device in the anesthetic management. Data regarding Airway management, intraoperative blood gas analysis, intracranial pressure, gastric antral volume, and adverse events were collected and analyzed. Patients using HFNC with oxygen flow rate at 40 or 60 L/min presented less Airway obstruction and injuries. Patients with HFNC 60 L/min maintained longer awake time than the patients with NPA. While the intraoperative PaO2 and SPO2 were not significantly different between the HFNC and NPA groups, HFNC patients achieved higher PaO2/FiO2 than patients with NPA. There were no differences in Brain Relaxation Score and gastric antral volume among the three groups as well as before and after operation in any of the three groups. HFNC was safe and effective for the patients during awake craniotomy. Chinese Clinical Trial Registry, CHiCTR1800016621 . Date of Registration: 12 June 2018.
Li Lin-dong - One of the best experts on this subject based on the ideXlab platform.
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The treatment of children's adenoidal hypertrophy by plasma melting combined adenoidectomy under nasal endoscope
Henan Medical Research, 2012Co-Authors: Li Lin-dongAbstract:Objective: To explore the rapeutic effect of the treatment of children's adenoidal hypertrophy by plasma melting combined adenoidectomy under nasal endoscope. Methods: 196 subjects under local anesthesia had their adenoid melted by plasma bipolar warhead at low temperature before traditional adenoidectomy was conducted. Results: According to the result of follow-up(usually 6 to 24 months after surgery),all subjects had no symptoms of adenoidal hypertrophy;they showed smooth nasopharyngeal mucosa,unobstructed Nasopharynx Airway,no residual adenoid,postoperative complications or recurrences. Conclusion: With minor trauma and lightly bleeding,the technique of plasma melting combined adenoidectomy is easier to operate and of higher accuracy.Without postoperative complications or recurrences,and is proved to be a safe and efficient treatment of children's adenoid hypertrophy.
