Cui P C, Zhang D Q, Guo Z H, Liang L P
Department of Otolaryngology Head and Neck Surgery, Tangdu Hosptial, Air Force Medical University, Xi'an, 710038, China.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2018 Jun;32(12):917-919. doi: 10.13201/j.issn.1001-1781.2018.12.008.
To evaluate the surgical methods and outcomes of laryngeal stenosis after laryngeal cancer surgery. Nineteen patients with laryngeal stenosis caused by partial laryngectomy were retrospectively analyzed.Two cases were treated by endoscopic laser resection. Seventeen were treated by open surgery. Among them 15 used the sternohyoid myocutaneous flap and 1 thyroid alar cartilage and 1 hyoid bone as grafts. Sixteen patients were decannulated and the overall decannulation rate was 84%. A silicone T tube was remained in place from 3 to 18 months, mean 10 months. Follow-up was obtained from 11 months to 8 years. Vertical partial laryngectomy easily lead to laryngeal stenosis. The sternohyoid myocutaneous flap is the major approach for laryngeal stenosis. Endoscopic laser resection is effective for mild stenosis.
评估喉癌手术后喉狭窄的手术方法及疗效。回顾性分析19例因部分喉切除术导致喉狭窄的患者。2例采用内镜激光切除术治疗。17例采用开放手术治疗。其中15例采用胸骨舌骨肌皮瓣，1例采用甲状软骨翼和1例采用舌骨作为移植物。16例患者拔管，总体拔管率为84%。硅胶T管留置3至18个月，平均10个月。随访时间为11个月至8年。垂直部分喉切除术易导致喉狭窄。胸骨舌骨肌皮瓣是治疗喉狭窄的主要方法。内镜激光切除术对轻度狭窄有效。
