Liu Weisong, Xiang Cheng, Jia Shenshan
Department of Head and Neck Surgery, Affiliated Tumor Hospital of Harbin Medical University, Harbin, 150040, China.
Lin Chuang Er Bi Yan Hou Ke Za Zhi. 2006 Aug;20(15):681-3.
To evaluate the reconstruction effect and to investigate applied indication of unilateral sternohyoid muscle flap with hyoid bone in laryngeal carcinoma after partial laryngectomy.
Seventy-three identified cases have been analysed by retrospective process. Statistic data mainly include postoperative eating condition, decannulation rate and postoperative voice. Detailed data of decannulation rate have been contrasted in different clinical stages, clinical types and operation types of malignant tumor. More data include three year, postoperative complications and so on.
There are about 79.5% cases survived three years or more. All the cases can take food by mouth without gastric tube after the operation, 12.9 days in average. The total decannulation rate is 76.7% and difference is found between enlarged-vertical hemilaryngectomy and the other types of operations. More than 83.6% patients can speak in a nearly normal way.
The decannulation rate, voice and swallowing function are all recovered satisfactory after the reconstruction and the decannulation rate is not influenced by clinical stage or else of laryngeal carcinoma, but only by the range of ectomy. The mono-side sternohyoid muscle flap with hyoid bone can restore a baggish defect of larynx, and the survival rate is satisfied. It can take the place of full laryngectomy in some T3 or T4 cases whose extent of disease laid particular emphasis on one side.
评估带舌骨的单侧胸骨舌骨肌瓣在喉癌部分喉切除术后的重建效果并探讨其应用指征。
采用回顾性研究方法对73例确诊病例进行分析。统计数据主要包括术后进食情况、拔管率及术后嗓音情况。对恶性肿瘤不同临床分期、临床类型及手术类型的拔管率详细数据进行对比。更多数据包括术后三年情况、并发症等。
约79.5%的病例存活三年或更长时间。所有病例术后均能经口进食，无需胃管，平均12.9天。总拔管率为76.7%，扩大垂直半喉切除术与其他类型手术之间存在差异。超过83.6%的患者能以近乎正常的方式说话。
重建术后拔管率、嗓音及吞咽功能均恢复满意，拔管率不受喉癌临床分期等因素影响，仅受切除范围影响。带舌骨的单侧胸骨舌骨肌瓣可修复喉的袋状缺损，生存率满意。在一些病变范围侧重一侧的T3或T4病例中可替代全喉切除术。
