Posterior naris blocking support
Technical Field
The utility model relates to a otorhinolaryngology department surgical instruments field, in particular to back nostril shutting eyelidretractor.
Background
The blocking of the posterior nares is a critical disease which directly threatens the life of a newborn, the blocking of the posterior nares at two sides causes difficult breathing and oxygen deficiency of the infant, the life safety of a child patient can be ensured only by emergently passing through the tracheal cannula, but the child patient cannot always carry the tracheal cannula to live, the posterior nares forming operation must be carried out at an early stage, but at present, equipment specially used for supporting the posterior nares is not available, and a surgical instrument specially used for forming the posterior nares is also unavailable.
When the posterior naris is formed clinically, the posterior naris needs to be prevented from being locked again after being opened, so that the support needs to be placed for more than 6 months, the supports used clinically at present are all temporarily manufactured in an operation, the manufacturing process probably needs 1.5 to 2 hours, the operation time is prolonged, the anesthetic dosage of the sick children is increased, the used materials are not uniform, some tracheal cannulas, some three-way tubes and thoracic drainage tubes are used. The tracheal cannula is hard, can press the perforation of the nasal septum, and the nasal alar is deformed, thereby adding extra complications to the sick children; the three-way pipe and the thoracic drainage pipe have thicker pipe wall and thinner pipe cavity, are easy to be blocked by nasal scab, and need to repeatedly clean secretion in the nasal cavity, thereby increasing nursing difficulty, and most importantly, the ventilation is insufficient, and part of the nasal drainage pipe still has breathing difficulty. The three parts have the unified defects of straight shape, no scale mark, no knowing of the placing length, no groove, inconvenient fixation and easy rotation, and the inner end of the breather pipe is blocked by nasopharynx tissues, can not ventilate and can not bend along with the nasal cavity and nasal passage. The U-shaped support is made of the materials and used for ventilation and support, the front end of the U-shaped support penetrates out of the nasal cavity through the front nares on two sides, the rear end of the U-shaped support is propped against the rear end of the nasal septum, once the position is changed, the rear end of the U-shaped tube is easily blocked and cannot ventilate, and general anesthesia operation needs to be performed again.
Disclosure of Invention
The utility model provides a rear nostril locking support device which has strong supporting capacity and is convenient to fix, in order to make up the defects of the prior art.
The utility model discloses a realize through following technical scheme:
a posterior nostril blocking support device is characterized by comprising two ventilation pipes capable of developing, wherein the outer ends of the ventilation pipes are in a horn mouth shape, grooves are respectively arranged at two ends of each ventilation pipe and at one side of the nasal septum, drainage grooves are arranged in the ventilation pipes, and an included angle between each groove and each drainage groove is 60-120 degrees when the ventilation pipes are seen from the cross section; the wall of the ventilation pipe is provided with a through hole.
The through holes are rhombic.
The included angle between the groove and the drainage groove is 90 degrees.
Scales are arranged on the vent pipe.
The vent pipe is a rubber pipe, and a spring is embedded in the rubber pipe.
The breather pipe has six types, and the lengths of the six types are respectively: 5 cm, 5.5 cm, 6 cm, 6.5 cm, 7 cm and 7.5 cm.
The number of the through holes is 2-3.
The part of the vent pipe connected with the bell mouth is bent downwards.
The utility model has the advantages that:
the breather pipe comprises rubber tube and spring, guarantees that the breather pipe can be buckled along with the nasal cavity to possess very strong holding power, not flattened by the nasal cavity extrusion force.
When the fixing band is used, the two ventilating pipes are respectively inserted into nostrils, then the fixing band is inserted into the rear nostril from the ventilating pipe of the nostril at one side, and is led out from the ventilating pipe of the nostril at the other side under the guidance of an endoscope, and then is pulled out, and two ends of the fixing band are knotted at the bell mouth.
Since the ventilation tube itself can be developed, even if it falls into the esophagus or airway, it can be displayed by X-ray inspection.
As children age, the length of the nasal cavity changes, which is the larger size of the ventilation tube that can be replaced: firstly, the fixing belt is untied, the vent pipe on one side is firstly drawn out, then a proper vent pipe is selected to go in and out of the fixing belt on the side and is inserted into the nostril, then the vent pipe on the other side of the nostril is replaced in the same way, and the whole process can be finished only by local anesthesia.
The utility model discloses can select according to the infant age, do not need interim preparation, can reach and put into fast, can walk the shape along with nasal cavity, nasal passage and change, change simply, maintain convenient advantage.
Drawings
The invention will be further described with reference to the accompanying drawings:
FIG. 1 is a schematic view of a front, perspective structure of a snorkel;
FIG. 2 is a left side view of the vent tube;
FIG. 3 is a schematic diagram of a right side view of the vent pipe;
FIG. 4 is a schematic top view of the vent tube;
FIG. 5 is a schematic cross-sectional view taken along the line A-A in FIG. 2;
fig. 6 is a schematic view of the position relationship of two air pipes in use.
In the figure, 1 breather pipe, 2 recesses, 3 drainage grooves, 4 through-holes, 5 fixed bands, 6 scales and 7 springs.
Detailed Description
The attached drawings are specific embodiments of the invention. As shown in figures 1 to 6, the posterior nares blocking support comprises two developing vent pipes 1, the vent pipes 1 are made of rubber pipes, springs 7 are embedded in the rubber pipes, when in use, one vent pipe 1 is arranged in each of the two nares, the outer end of each vent pipe 1 is in a bell mouth shape, one groove 2 is respectively arranged at each of the two ends of each vent pipe 1 and one side of the nasal septum, the groove 2 on each vent pipe 1 and the axial lead of the vent pipe 1 are positioned in a plane to facilitate binding of fixing bands 5, a front and back direction drainage groove 3 is arranged in each vent pipe 1, the included angle between each groove 2 and each drainage groove 3 is 60-120 degrees, preferably 90 degrees when viewed from the cross section, because the two vent pipes 1 are simultaneously inserted into the two nares, if the grooves 2 and the drainage grooves 3 are placed in a coordinate system, the drainage grooves 3 of the two vent holes are both on a negative half axis of a Y axis, and the grooves 2 on the vent pipes 1 of the left, preferably on the negative half axis of the X-axis, the groove 2 on the vent tube 1 of the right nostril is a quadrant, but preferably on the positive half axis of the X-axis; the two ventilation tubes 1 can be fixed on the nose by fixing belts 5 through the grooves 2 on the two ventilation tubes 1 (the left nostril and the right nostril are for the patient, and the coordinate axes are from the perspective of the doctor). Two grooves 2 are located on the straight section of the vent pipe 1.
A plurality of through holes 4 are formed on the pipe wall of each breather pipe 1, and the shape of the through holes 4 is preferably diamond.
In order for the surgeon to grasp the depth of insertion of the ventilation tubes 1, a scale 6 is engraved on each ventilation tube 1.
In order to adapt to different nasal cavity lengths and newborn infants with different ages, the ventilation tube 1 is designed into six models, wherein the six models respectively have the following lengths: 5 cm, 5.5 cm, 6 cm, 6.5 cm, 7 cm and 7.5 cm.
The through hole 4 is used for draining secretion in the nasal cavity to enter the breather pipe 1, and the drainage groove 3 is used for draining the secretion entering the breather pipe 1, so that the secretion flows out conveniently, scabbing is avoided, and the breather pipe 1 is blocked.
The through-hole 4 is located on the side near the alar, i.e. on the side opposite to the drainage channel 3. 2-3 through holes are formed in the substrate.
In order to prevent the straight ventilation tube 1 from causing the nasal alar upwarp and causing the nasal alar deformation, the part of the ventilation tube connected with the bellmouth is bent downwards, namely, the ventilation tube is bent towards the opposite direction of the nasal alar.
When the fixing device is used, the two ventilating pipes 1 are respectively inserted into nostrils, then the fixing band 5 is inserted into the posterior nostril from the ventilating pipe 1 of the nostril at one side, and is led out from the ventilating pipe 1 of the nostril at the other side under the guidance of an endoscope, and then is pulled out, and the two ends of the fixing band 5 are knotted at the horn mouth.
Since the ventilation tube 1 itself can be developed, even if it falls off into the esophagus or airway, it can be displayed by X-ray inspection.
Along with child's age, nasal cavity length changes, at this moment, can change the breather pipe 1 of a little bigger model: firstly, the fixing belt 5 is unfastened, the ventilating pipe 1 on one side is firstly drawn out, then the proper ventilating pipe 1 is selected to go in and out the fixing belt 5 on the side and is inserted into the nostril, then the ventilating pipe 1 on the other side of the nostril is replaced in the same way, and the whole process can be finished only by local anesthesia.
Other technical features than those described in the specification are known to those skilled in the art.