Strek P, Urbanik A, Reroń E, Modrzejewski M, Składzień J, Belowska J, Kitliński Z, Grotyńska M, Chrzan R
Katedra i Klinika Otolaryngologii CM UJ w Krakowie.
Otolaryngol Pol. 2001;55(1):5-12.
Videorentgenocinematographic examinations of swallowing were conducted on 81 patients after partial laryngectomy and on 35 subjects being a control group. Resection of piriform recess, a part of base of the tongue, the hyoid bone or its part is the factor that causes intensified difficulty during swallowing and increase in the frequency of the occurrence of aspiration. The results of videorentgenocinematographic examinations indicate that the shape and mobility of the tongue and the mobility of remaining after the surgery parts of the larynx have the greatest influence on the efficient swallowing in patients who have undergone partial laryngectomy due to cancer initially located in the supraglottic area. The larynx mobility is closely related to the remaining of the hyoid bone. The importance of remaining the possibly non-deformed structure and mobility of the tongue during partial laryngectomy involves the issue of reconstruction of defects occurred during the surgery. Videorentgenocinematographic examinations confirm the effectiveness of the method involving reconstruction of defects in a part of the base of the tongue with a vascular pedicle flap of the submandibular gland.
对81例部分喉切除术后患者及35例作为对照组的受试者进行了吞咽的视频X线电影检查。梨状窝、部分舌根、舌骨或其部分的切除是导致吞咽困难加剧和误吸发生率增加的因素。视频X线电影检查结果表明，对于最初位于声门上区的癌症行部分喉切除术后的患者，舌头的形状和活动度以及术后喉部剩余部分的活动度对有效吞咽影响最大。喉部活动度与舌骨的保留密切相关。在部分喉切除术中保留可能未变形的舌头结构和活动度的重要性涉及手术中出现的缺损重建问题。视频X线电影检查证实了采用下颌下腺带血管蒂皮瓣重建部分舌根缺损方法的有效性。
