Olson N R
St. Joseph Mercy Hospital, Ypsilanti, MI.
Otolaryngol Head Neck Surg. 1991 Apr;104(4):503-8. doi: 10.1177/019459989110400414.
Skin grafting as a method of restoring the lumen in cases of laryngeal stenosis has been promoted and practiced in the past. Lately, little has been heard of the method. I have personally used skin grafting in almost every case of repair of acute injury or chronic stenosis of the larynx in the last several years. The rationale for grafting is (1) to cover any areas of epithelial loss or dehiscence during the healing period, (2) to reduce the chance of prolonged granulation and subsequent contracture, and (3) to serve as a logical material to use as the interface between a stent and the lumen of the larynx. This report discusses the use of skin grafting in 20 cases of severe acute injury or chronic stenosis. Other procedures needed to enhance the stenotic lumen are also described. In this series, 17 patients are decannulated, one wears a plug continually, and two did not or could not complete the recommended therapy. Among those completing therapy, 100% are either decannulated or wear a plug.
过去，皮肤移植作为恢复喉狭窄病例中管腔的一种方法已得到推广和应用。最近，很少再听闻这种方法。在过去几年里，我几乎在每例喉急性损伤或慢性狭窄修复病例中都亲自使用了皮肤移植。移植的理论依据是：（1）在愈合期覆盖任何上皮缺失或裂开的区域；（2）减少长期肉芽形成及随后挛缩的机会；（3）作为一种合理的材料用作支架与喉管腔之间的界面。本报告讨论了20例严重急性损伤或慢性狭窄病例中皮肤移植的应用情况。还描述了扩大狭窄管腔所需的其他手术方法。在这组病例中，17例患者拔管，1例持续佩戴塞子，2例未完成或无法完成推荐治疗。在完成治疗的患者中，100%要么拔管，要么佩戴塞子。
