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颈上深部金属异物,多伴有重要神经血管损伤,且颈部进行过抢救手术,故疤痕多,常规颈侧进路取异物,手术容易失败,甚至会加重颅神经再损伤。本文介绍异物定位及从扁桃体窝取异物的新方法,以供参考。病例报告例1:尹某,男,25岁。患者在一次海战中被炸伤左颈上部。当时颈上部大出血,且有呼吸困难,经气管切开、颈外动脉结扎等紧急抢救后,转危为安。5日后由某医院转我院外科治疗。后因颈上深部弹片存留、吞咽疼痛、声嘶、面瘫及颈部伤口不
Neck deep metal foreign body, often accompanied by an important neurovascular injury, and the neck has been treated for surgery, so many scars, the conventional neck side access to foreign body, the surgery is easy to fail, and even increase the cranial nerve injury. This article describes the foreign body localization and foreign body from tonsil fossa new method for reference. Case Report 1: Yinmou, male, 25 years old. The patient was injured in a naval battle left upper neck. At that time the upper part of the neck bleeding, and breathing difficulties, tracheotomy, external carotid artery ligation emergency rescue, turn the corner. After 5 days from a hospital to our hospital surgical treatment. After the neck deep shrapnel retention, swallowing pain, hoarseness, facial paralysis and neck wounds not