Abstract：
Throat packing is essential in oral and maxillofacial surgeries to prevent blood and tissue debris aspiration, reducing postoperative complications. Traditional oral route methods are often inadequate, especially in severe trismus cases like Oral Submucous Fibrosis (OSMF), TMJ Ankylosis, and post-traumatic conditions due to limited mouth opening. This study introduces a novel technique using a nasopharyngeal airway (NPA) for throat packing. The method involves inserting a hemostatic dressing through an NPA, ensuring minimal invasiveness and effective airway management. Proper positioning is confirmed with a laryngoscope or fiberoptic scope, and the dressing is secured to prevent dislodgement. This technique is easy, reproducible, and less injurious compared to traditional methods. At our center, throat packing via NPA was performed on 35 patients undergoing surgery under general anesthesia, resulting in high satisfaction and no reported complications.
摘要：
喉部填塞在口腔颌面手术中是必不可少的，以防止血液和组织碎片吸入。减少术后并发症。传统的口服途径方法往往不足,特别是在口腔粘膜下纤维化（OSMF）等严重的三聚体病例中，TMJ强直,和创伤后的条件，由于有限的张口。这项研究介绍了一种使用鼻咽气道（NPA）进行咽喉包装的新技术。该方法包括通过NPA插入止血敷料，确保最小的侵入性和有效的气道管理。用喉镜或纤维镜确认正确的定位，并且敷料被固定以防止移位。这项技术很简单，可重复,与传统方法相比，伤害更小。在我们的中心,通过NPA对35例全身麻醉下手术的患者进行咽喉填塞，结果满意度高，无并发症报告。
