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[一种将自体脂肪和筋膜声带内移植相结合治疗声带沟的新手术技术]

[A new surgical technique combining autologous intracordal transplantation of fat and fascia for sulcus vocalis].

作者信息

Nishiyama K, Hirose H, Iguchi Y, Yamamoto K, Suzuki T, Yamanaka J, Hirayama M, Okamoto M

机构信息

Department of Otorhinolaryngology, Kitasato University School of Medicine, Sagamihara.

出版信息

Nihon Jibiinkoka Gakkai Kaiho. 2001 Dec;104(12):1151-5. doi: 10.3950/jibiinkoka.104.1151.

Abstract

We developed a new surgical technique combining autologous intracordal transplantation of fat and fascia for sulcus vocalis. Fat tissue from the abdominal wall and fascia from the postauricular region were obtained and an incision was made on the lateral portion of the vocal cord and a small pocket prepared in the lamina propria using an elevator. After inserting fat tissue into the pocket, fascia was inserted to cover the fat graft to prevent its escape from the pocket. The surgical wound was then sutured using absorbable sutures. No evidence of postoperative absorption of transplanted fat tissue was seen, and vocal function improved postoperatively. This method proved useful as surgical treatment for sulcus vocalis.

摘要

我们开发了一种新的手术技术,即将自体脂肪和筋膜移植至声带沟。取自腹壁的脂肪组织和耳后区域的筋膜,在声带外侧做切口,并用剥离器在固有层制备一个小腔隙。将脂肪组织植入腔隙后,再植入筋膜以覆盖脂肪移植物,防止其从腔隙中脱出。然后用可吸收缝线缝合手术创口。术后未见移植脂肪组织吸收的迹象,且术后声带功能有所改善。该方法被证明是治疗声带沟的有效手术方式。

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