显微外科喉气管重建术

Microsurgical laryngotracheal reconstruction.

作者信息

Gilbert Ralph W, Neligan Peter C

机构信息

Department of Otolaryngology/Head and Neck Surgery, Princess Margaret Hospital, University Health Network, University of Toronto, Ontario, Canada.

出版信息

Clin Plast Surg. 2005 Jul;32(3):293-301, v. doi: 10.1016/j.cps.2005.01.005.

DOI:10.1016/j.cps.2005.01.005

PMID:15979469

Abstract

Laryngotracheal reconstruction using free-tissue transfer represents one of the new challenges for the head and neck reconstructive surgeon. This article reviews the anatomy and physiology of the larynx and trachea and discusses the clinical context of laryngotracheal reconstruction, particularly with regard to malignant tumors involving the larynx and cervical trachea. It reviews the free-tissue reconstructive options, including the free forearm flap, the temporoparietal flap, and the two-staged procedure described by Delaere.

摘要

使用游离组织移植进行喉气管重建是头颈重建外科医生面临的新挑战之一。本文回顾了喉和气管的解剖学与生理学，并讨论了喉气管重建的临床背景，特别是涉及喉和颈段气管的恶性肿瘤。本文还回顾了游离组织重建的选择，包括游离前臂皮瓣、颞顶皮瓣以及德莱尔描述的两阶段手术。