[带蒂胸骨舌骨肌瓣联合舌骨移植修复喉气管狭窄]
[Reconstruction of laryngotracheal stenosis with hyoid graft and pedicle sternohyoid muscle flaps].
作者信息
Li Gaoxin, Zhou Jianbo, Xiao Xuping
机构信息
Department of Otorhinolaryngology-Head and Neck Surgery, Hunan Province People's Hospital, Changsha, 410005,China.
出版信息
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2008 Nov;22(21):977-9.
OBJECTIVE
To evaluate the possibility and reliability of hyoid graft and pedicle sternohyoid muscle flaps in the reconstruction of laryngotracheal stenosis.
METHOD
Using the single or double pedicle sternohyoid muscle flaps and hyoid graft, we repaired laryngotracheal stenosis.
RESULT
In all 21 cases with laryngotracheal stenosis, 16 cases were cured after one surgical procedure, and 3 cases were cured after two times of surgical procedures, and 19 cases were decannulated, but one case was failure, and one case was lost visiting.
CONCLUSION
The hyoid sternohyoid graft transfer method was convenient, slightly damaging, and had good supporting effects and high survival rate in the reconstruction of laryngotracheal stenosis.
目的
评估舌骨移植及带蒂胸骨舌骨肌瓣修复喉气管狭窄的可行性和可靠性。
方法
采用单蒂或双蒂胸骨舌骨肌瓣及舌骨移植修复喉气管狭窄。
结果
21例喉气管狭窄患者中，16例一次手术治愈，3例二次手术治愈，19例拔管，但1例失败，1例失访。
结论
舌骨胸骨舌骨肌瓣转移法修复喉气管狭窄操作简便、损伤小、支撑效果好、成活率高。
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