Brandenburg J H, Cragle S P, Rammage L A
Department of Surgery, University of Wisconsin, Madison.
Otolaryngol Head Neck Surg. 1991 Feb;104(2):175-81. doi: 10.1177/019459989110400204.
In recent years, various techniques have been introduced for construction of an epithelium-lined shunt between the trachea and the esophagus or hypopharynx. We described a rigid neoglottis in a preliminary report of 12 cases in which the upper tracheal rings were used to construct the epithelium-lined tract. This study reports the cases of 22 additional patients and offers an in-depth analysis of additional demographics, complications, and long-term speech results that quantify the vocal characteristics of neoglottic speakers. Results indicate rapid postoperative speech rehabilitation in nearly all patients, good long-term speech results (mean followup, 52 months), and low morbidity. There was a low incidence of local recurrence and stenosis, and 26 of 34 patients had either no aspiration or occasional asymptomatic aspiration of small amounts of liquid. This modified neoglottis procedure should be considered for patients who need voice restoration after laryngectomy.
近年来，已引入各种技术用于在气管与食管或下咽之间构建内衬上皮的分流通道。在一份关于12例病例的初步报告中，我们描述了一种刚性新声门，其中使用气管上半部分的环状软骨构建内衬上皮的通道。本研究报告了另外22例患者的病例，并对更多的人口统计学数据、并发症及长期语音结果进行了深入分析，量化了新声门发声者的语音特征。结果表明，几乎所有患者术后语音均迅速恢复，长期语音效果良好（平均随访52个月），且发病率较低。局部复发和狭窄的发生率较低，34例患者中有26例无误吸或仅有偶尔少量液体的无症状误吸。对于喉切除术后需要恢复发声的患者，应考虑采用这种改良的新声门手术。
