Liu Zhi, Chen Wenxian, Cui Pengcheng, Gao Penfei, Lou Jiasheng, Zhong Limei
Department of Otolaryngology, Tangdu Hospital, Fourth Military Medical University, Xi'an, 710038, China.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2009 Sep;23(18):821-3.
To investigate the effect of the musculo-periosteum flap of the sternocleidomastoideus with clavicular periosteum on the reconstruction of extensiveness laryngotracheal defect.
Retrospectively studied 49 patients, who admitted in our department from 1996 to 2005 years for severe laryngotracheal defect. There were 28 males and 21 females aged from 15 to 69 years old (mean age was 47 years old). The causes of laryngotracheal defect were laryngotracheal stenosis (31 cases) and surgery for thyroid carcinoma invading trachea (18 cases). All of 49 cases were treated with the graft of musculo-periosteum flap of the sternocleidomastoideus with clavicular periosteum and placed a silicon T-tube stenting for 3 to 6 months.
All of 49 cases were successfully decannulated with recuperative normal airway patency and effective phonation. The follow up ranged from 2 to 10 years, and the effect of operation was steady.
The musculo-periosteum flap of the sternocleidomastoideus with clavicular periosteum is an ideal graft for the reconstruction of cervical extensiveness tracheal defect.
探讨胸锁乳突肌带锁骨骨膜肌骨膜瓣在广泛性喉气管缺损修复中的作用。
回顾性分析1996年至2005年我科收治的49例严重喉气管缺损患者的临床资料。其中男性28例，女性21例，年龄15～69岁，平均47岁。喉气管缺损原因：喉气管狭窄31例，甲状腺癌侵犯气管行手术治疗18例。49例均采用胸锁乳突肌带锁骨骨膜肌骨膜瓣移植修复，并置入硅胶T形管支撑3～6个月。
49例患者均成功拔管，呼吸道通畅，发声功能恢复良好。随访2～10年，手术效果稳定。
胸锁乳突肌带锁骨骨膜肌骨膜瓣是修复颈部广泛性气管缺损的理想组织瓣。
