瘢痕性腭咽狭窄

Cicatricial velopharyngeal stenosis.

作者信息

Ghorayeb B Y

机构信息

Department of Otolaryngology-Head and Neck Surgery, University of Texas Medical School, Houston 77030.

出版信息

Arch Otolaryngol Head Neck Surg. 1988 Feb;114(2):192-4. doi: 10.1001/archotol.1988.01860140090028.

DOI:10.1001/archotol.1988.01860140090028

PMID:3337778

Abstract

Cicatricial velopharyngeal stenosis is a complication of uvulopalatopharyngoplasty. Uvulopalatopharyngoplasty, posterior nasal packing, and instrumentation produced swelling and ulceration of the oropharyngeal mucosa. Prolonged intubation compounded the problem by pushing the freshly cut surface of the velum against a raw oropharyngeal wall, thus causing synechiae and, ultimately, stenosis. A surgical technique using a pharyngeal rotation flap and a free graft is proposed to treat this condition.

摘要

瘢痕性腭咽狭窄是悬雍垂腭咽成形术的一种并发症。悬雍垂腭咽成形术、后鼻孔填塞和器械操作导致口咽黏膜肿胀和溃疡。长时间插管使软腭新切开的表面抵住粗糙的口咽壁，从而加剧了问题，导致粘连并最终形成狭窄。本文提出一种使用咽旋转皮瓣和游离移植物的手术技术来治疗这种疾病。