支撑喉镜下喉部分切除术的会厌成型技术。

Epiglottoplasty technique in endoscopic partial laryngectomy.

机构信息

Otolaryngology-Head and Neck Surgery Department CS 10217, Grenoble Alpes University Hospital, 38043 Grenoble cedex 9, France.

Otolaryngology-Head and Neck Surgery Department CS 10217, Grenoble Alpes University Hospital, 38043 Grenoble cedex 9, France; Grenoble Alpes University, School of Medicine, Grenoble, France; UGA/UMR/CNRS 5309/Inserm 1209, Albert-Bonniot Institute, Grenoble, France.

出版信息

Eur Ann Otorhinolaryngol Head Neck Dis. 2018 Jun;135(3):197-199. doi: 10.1016/j.anorl.2017.12.003. Epub 2018 Jan 12.

DOI:10.1016/j.anorl.2017.12.003

PMID:29338941

Abstract

The main advantage of endoscopic laser surgery for laryngeal cancer is to allow tumour resection, while limiting functional sequelae, thereby improving the postoperative course. In this type of surgery, the epiglottis is often partially resected, leaving a raw zone without any reconstruction. The surgical technique described here involves endoscopic reconstruction of the epiglottis after partial resection. The sectioned edge of the epiglottis is sutured to the base of the tongue to create a neoepiglottis and to reconstruct the vallecula, thus resembling preoperative anatomy, allowing improvement of postoperative swallowing.

摘要

内镜激光手术治疗喉癌的主要优势在于能够实现肿瘤切除，同时限制功能后遗症，从而改善术后过程。在这种手术类型中，通常会部分切除会厌，留下一个没有任何重建的裸露区域。这里描述的手术技术涉及到会厌部分切除后的内镜重建。会厌的断端缝合到舌根部，以创建新的会厌并重建 vallecula，从而类似于术前解剖结构，可改善术后吞咽功能。