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[通过喉悬吊术减少口腔和咽部区域广泛肿瘤手术干预后的误吸]

[Decreased aspiration after extensive tumor surgical interventions in the area of the mouth cavity and pharynx by laryngeal suspension].

作者信息

Maier H, Schwetschke O, Weidauer H

机构信息

Universitäts-HNO-Klinik Heidelberg.

出版信息

HNO. 1992 Dec;40(12):472-5.

PMID:1493966
Abstract

Lateral laryngeal suspension in combination with a cricopharyngeal myotomy represents a simple technique for prevention and/or treatment of chronic aspiration in patients during or after surgery for head and neck cancer. At the Department of Otolaryngology/Head and Neck Surgery of the University of Heidelberg this technique has been employed with satisfying results in 6 patients with large carcinomas of the oral cavity and pharynx. Lateral laryngeal suspension was not able to prevent--or if used secondarily--to eliminate aspiration completely in all patients. However, none of our patients experienced aspiration of saliva postoperatively. All were able to use a speech canula and some could even be fed orally.

摘要

喉外侧悬吊术联合环咽肌切开术是一种预防和/或治疗头颈癌患者手术期间或术后慢性误吸的简单技术。在海德堡大学耳鼻咽喉头颈外科,该技术已应用于6例口腔和咽大癌患者,取得了满意的效果。喉外侧悬吊术不能完全预防——或者如果作为二期手术使用——也不能完全消除所有患者的误吸。然而,我们所有患者术后均未出现唾液误吸。所有患者都能够使用语音插管,有些患者甚至能够经口进食。

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