Department of Otolaryngology, Head Neck Surgery, Queen Alexandra Hospital NHS Trust, Portsmouth, PO6 3LY, UK.
Eur Arch Otorhinolaryngol. 2019 Aug;276(8):2355-2359. doi: 10.1007/s00405-019-05444-2. Epub 2019 May 10.
Enlargement of tracheoesophageal puncture (TEP) is seen in 1-29% of laryngectomee/laryngopharyngectomee using tracheoesophageal voice. It predisposes patient for recurrent aspiration pneumonia. Surgical closure of TEP is required in 30-67% of patients not responding to conservative measures. Surgical closure of an enlarged TEP using a flap may be time consuming, complex, and logistically challenging to organize. A novel technique of Fascia lata graft closure of an enlarged TEP is presented here. This technique can be useful in carefully selected patients with an enlarged TEP.
气管食管造口（TEP）扩大在使用气管食管发声的喉切除术/喉咽切除术患者中可见 1-29%。它使患者易患复发性吸入性肺炎。对于未对保守治疗有反应的患者，需要进行 30-67%的 TEP 手术闭合。使用皮瓣进行扩大 TEP 的手术闭合可能既耗时、复杂，又难以在后勤上组织。本文介绍了一种使用阔筋膜移植物闭合扩大 TEP 的新技术。该技术对于有扩大 TEP 的精选患者可能有用。
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