Neis P R, McMahon M F, Norris C W
Department of Otolaryngology, University of Kansas Medical Center, Kansas City 66103.
Ann Otol Rhinol Laryngol. 1989 Jan;98(1 Pt 1):31-6. doi: 10.1177/000348948909800107.
Cartilaginous tumors of the larynx are uncommon, with approximately 250 having been reported in the literature. Only 28% of these were chondrosarcomas, and the remainder, chondromas. Cartilaginous tumors occur even more rarely in the trachea, with eight chondromas and four chondrosarcomas having been reported. A review of the literature with an outline of a reasonable treatment philosophy for these tumours is presented, as well as three case reports of chondrosarcoma of the larynx and one of chondroma of the trachea, which demonstrate common characteristics of these tumors. We also describe a new technique used on one of these patients in which an autologous rib cartilage graft and pyriform fossa mucosal flap are used to reconstruct the cricoid ring after resection of more than two thirds of its circumference, allowing decannulation and good voice postoperatively.
喉软骨肿瘤并不常见，文献报道约有250例。其中仅28%为软骨肉瘤，其余为软骨瘤。气管软骨肿瘤更为罕见，文献报道有8例软骨瘤和4例软骨肉瘤。本文回顾了相关文献，并概述了针对这些肿瘤合理的治疗理念，同时报告了3例喉软骨肉瘤及1例气管软骨瘤的病例，展示了这些肿瘤的共同特征。我们还描述了在其中1例患者身上使用的新技术，即在环状软骨周长切除超过三分之二后，采用自体肋软骨移植和梨状窝黏膜瓣重建环状软骨，术后实现了拔管且嗓音良好。
