Zelený M, Voldrich Z, Kozák J, Sobota J
Ustrední vojenská nemocnice, Praha.
Cesk Otolaryngol. 1990 Aug;39(4):195-8.
In recent years the authors operated three casualties from non-European battlefields with severe laryngotracheal stenoses due to war injuries. Median laryngotomy (thyrocricotracheotomy) made a revision and modification of the internal injury possible. An implanted tube from a vascular prosthesis, packed in Hydron kept the replaced cartilaginous cross bar and possibly mucous grafts from a gingivobuccal fold in the correct position. A cross bar made from a cartilaginous or bony portion of a rib also dilated the lumen. It was kept in position by the perichondrium of the cartilaginous cross bar sutured to the margin of the mucosal remnants. All three patients were decannulated.
近年来，作者对3例来自非欧洲战场、因战争创伤导致严重喉气管狭窄的伤员进行了手术。正中喉切开术（环甲膜气管切开术）使对内伤的修复和改良成为可能。一根植入的血管假体管，包裹在Hydron中，使替换的软骨横杆以及可能取自牙龈颊褶的黏膜移植物保持在正确位置。由肋骨的软骨或骨部分制成的横杆也扩大了管腔。它通过将软骨横杆的软骨膜缝合到黏膜残余边缘而保持在原位。所有3例患者均拔除了气管套管。
