Li Wen, Yang Liu, Yuan Liqing, Gu Deying
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2015 Jan;29(2):117-20.
To investigate the feasibility of utilizing pedicled sternocleidomastoid clavicular periosteocutaneous flap to reconstruct the laryngotracheal defect after tumor resection.
To review 6 cases of laryngotracheal defect resulting from resction of thyroid papillary carcinoma(4/6) or subglottic laryngeal carcinoma (2/6) (T12N12M0 , UICC,2002), laryngotracheal stenting was also employed in all cases. Half a year after surgery, the stoma was sutured if no local recurrence took place and safety was proved after tracheal tube had been obstructed for days. The follow-up time lasted from half a year to 3 years.
Four cases (4/6) were extubated successfully without event, one case could intermittently plug the tracheal tube. One patient couldn't breath with tracheal tube plugging.
To reconstruct the laryngotracheal defect with pedicled sternocleidomastoid clavicular.periosteocutaneous flap after tumor resection is feasible in selected cases and could get satisfactory clinical results either in respiration or phonation.
探讨带蒂胸锁乳突肌锁骨骨膜皮瓣修复肿瘤切除术后喉气管缺损的可行性。
回顾6例因甲状腺乳头状癌（4/6）或声门下喉癌（2/6）（T12N12M0，UICC，2002）切除导致的喉气管缺损病例，所有病例均采用喉气管支架置入。术后半年，若未发生局部复发且气管插管堵塞数天证明安全，则缝合造口。随访时间为半年至3年。
4例（4/6）成功拔管无异常，1例可间歇性堵塞气管插管。1例患者气管插管堵塞后无法呼吸。
在部分病例中，肿瘤切除术后采用带蒂胸锁乳突肌锁骨骨膜皮瓣修复喉气管缺损是可行的，在呼吸和发声方面均可取得满意的临床效果。
