State Key Laboratory of Oncology in South China, Department of Head and Neck Surgery, Cancer Center, Sun Yat-Sen University, Guangzhou, Guangdong, P.R. China.
Laryngoscope. 2010 Nov;120(11):2197-202. doi: 10.1002/lary.21103.
To investigate the feasibility and efficacy of laryngeal framework reconstruction using titanium mesh in patients with glottic cancer after frontolateral vertical partial laryngectomy.
Prospective study.
Defect of laryngeal framework, caused by frontolateral vertical partial laryngectomy in nine patients with T2 or T3 squamous cell carcinoma of glottic, were reconstructed with titanium mesh from 2007 to 2009. Computed tomography (CT) and fiberscopic examinations were performed at two weeks and three months postoperatively.
No aspiration and laryngeal stenosis was observed in the nine patients. CT scanning showed that titanium mesh was fastened well without displacement and deformity and that there was no laryngeal stenosis. Fiberscopic inspection showed that the larynx lumen was maintained well without stricture, shrinkage, and necrosis. No titanium mesh was exposed to the larynx lumen.
Titanium mesh was a good alternative for reconstruction of the laryngeal framework. It provided adequate structural support to maintain airway patency.
探讨在喉前路垂直部分喉切除术后,采用钛网重建喉框架治疗声门型癌的可行性和疗效。
前瞻性研究。
2007 年至 2009 年,对 9 例 T2 或 T3 声门型鳞状细胞癌患者,因喉前路垂直部分喉切除术后导致喉框架缺损,采用钛网进行重建。术后 2 周和 3 个月进行计算机断层扫描(CT)和纤维镜检查。
9 例患者均无吸入和喉狭窄。CT 扫描显示钛网固定良好,无移位和变形,无喉狭窄。纤维镜检查显示喉腔保持良好,无狭窄、收缩和坏死。无钛网暴露于喉腔。
钛网是喉框架重建的良好替代品。它提供了足够的结构支撑,以维持气道通畅。