Chen Zhijun, Sun Yan, Hua Hui, Huang Yichuan, Zang Chuanshan
Department of Otolaryngology-Head and Neck Surgery, the Affiliated Hospital of Medical College of Qingdao University, Qingdao, 266003, China.
Lin Chuang Er Bi Yan Hou Ke Za Zhi. 2005 Aug;19(15):692-3.
To explore and evaluate the surgical method of partial laryngectomy and the laryngeal defects were reconstructed.
Two hundreds and sixty-five patients with laryngeal cancer were treated by partial laryngectomy and the laryngeal defects were reconstructed by epiglottic flap, bi-pedicle sternohyoid muscle fascia flap and epiglottic flap plus bi-pedicle sternohyoid muscle fascia flap from January 1990 to December 2000. There were 256 males and 9 females,ranging in age from 48 to 75 years old. Neck dissection were performed in 79 patients.
The total cases began to eat between 10 to 15 days after operation. Two hundreds and eighteen cases were decannulated with a decannulation rate of 82.26%. Wound infection occurred in 12 cases and 2 pharyngocutaneous fistula was found. The three and five years survival rates were 74.72% and 70. 88% respectively.
After partial laryngectomy in laryngeal cancer epiglottic flap and bi-pedicle muscle fascia flap were performed reconstruction of laryngeal function in a single-stage. These procedures which were relative simplicity, expediency, small injury and high rate of survival present ideal effects and are worthy to be recommended.
探讨并评估部分喉切除术及喉缺损重建的手术方法。
1990年1月至2000年12月，对265例喉癌患者行部分喉切除术，采用会厌瓣、双蒂胸骨舌骨肌筋膜瓣及会厌瓣加双蒂胸骨舌骨肌筋膜瓣重建喉缺损。男性256例，女性9例，年龄48～75岁。79例行颈部淋巴结清扫术。
全部病例术后10～15天开始进食。218例拔管，拔管率为82.26%。发生伤口感染12例，发现咽瘘2例。3年和5年生存率分别为74.72%和70.88%。
喉癌行部分喉切除术后，采用会厌瓣和双蒂肌筋膜瓣一期重建喉功能。这些手术相对简单、方便，损伤小，生存率高，效果理想，值得推荐。
