Moerman M B, Bouche K G, Branquaer X, Vermeersch H F
Head and Neck Surgery Department, University Hospital Ghent, 2P2, De Pintelaan 185, 9000 Ghent, Belgium.
Eur Arch Otorhinolaryngol. 2000;257(1):27-9. doi: 10.1007/pl00007508.
Caustic burns of the upper aerodigestive tract continue to be a significant clinical problem. However, the available literature uncommonly mentions changes affecting the larynx. We could find only one publication in which four cases of high hypopharyngeal stenosis were described in detail and where the functional outcome of the laryngeal function was stated as partially saved. We describe here a case of total retrocricoid stenosis in a 28-year-old woman that was caused by lye ingestion. A life-saving gastroesophagectomy was performed by the Department of General Surgery. Reconstruction of the esophagus was carried out with mobilized right colon, which was meticulously sutured circumferentially behind the arytenoids and on the prevertebral fascia. The anatomy of the larynx and its nerve supply were scrupulously maintained intact. We believe that our patient's rehabilitation was due mainly to an intensive 18-month program of care, following which all laryngeal functions recovered with normal voice and swallowing patterns.
上消化道腐蚀性烧伤仍然是一个严重的临床问题。然而，现有文献很少提及影响喉部的变化。我们仅能找到一篇详细描述4例下咽高位狭窄病例的文献，其中提到喉部功能的功能结果部分得以保留。在此，我们描述一例28岁女性因误服碱液导致环状软骨后完全狭窄的病例。普通外科进行了挽救生命的胃食管切除术。采用游离右结肠进行食管重建，将其在杓状软骨后方和椎前筋膜上进行细致的环形缝合。喉部及其神经供应的解剖结构被严格保持完整。我们认为，患者的康复主要归功于为期18个月的强化护理计划，之后所有喉部功能均恢复正常，语音和吞咽模式也正常。
