de Vincentiis M, Ruoppolo G, Calcagno P, Virdia P, Romualdi P, Simonelli M
IV Clinica O.R.L. Università di Roma La Sapienza.
Acta Otorhinolaryngol Ital. 1992 May-Jun;12(3):285-8.
Subtotal laryngectomy, a valid treatment for carefully selected patients, is a safe oncologic procedure which preserves the cricoid-arytenoid unit creating a successful "neo-larynx" with valid phonatory and deglutition functions. At the E.N.T. Clinic of "La Sapienza" University of Rome from Jan. 1984 to Feb. 1992, 85 subjects underwent subtotal laryngectomy, 50 of which then underwent phoniatric examination. The remaining patients were not suitable candidates because of the trachealis cannula (14), or because they were lost at follow up (16). A total of 50 male subjects were examined. Twenty-eight underwent crico-hyoid-pexia, while 22 patients underwent crico-hyoid-epiglotto-pexia. Attention is drawn to the results which appear to be extremely variable with regard to each study group. We obtained better results with crico-hyoid-epiglotto-pexia than with crico-hyoid-pexia and we guaranteed a good social re-insertion in all cases.
部分喉切除术是一种针对精心挑选患者的有效治疗方法，是一种安全的肿瘤手术，它保留了环状软骨-杓状软骨单元，创造出具有有效发声和吞咽功能的成功“新喉”。在罗马“萨皮恩扎”大学耳鼻喉科诊所，1984年1月至1992年2月期间，85名患者接受了部分喉切除术，其中50名随后接受了发声检查。其余患者由于气管插管（14例）或失访（16例）而不适合进行检查。共检查了50名男性患者。28例行环舌骨固定术，22例行环舌会厌固定术。值得注意的是，每个研究组的结果似乎差异极大。我们发现环舌会厌固定术的效果优于环舌骨固定术，并且在所有病例中都保证了良好的社会重新融入。
