Department of Otolaryngology/Head and Neck Surgery, Tanta University Hospital, El-Geish Street, Tanta, 31511, El-Gharbia, Egypt.
Eur Arch Otorhinolaryngol. 2021 Nov;278(11):4477-4481. doi: 10.1007/s00405-021-06677-w. Epub 2021 Feb 27.
Large and combined laryngoceles usually need an external approach. One difficulty in such approach was the dissection at the paraglottic space. To overcome such difficulty, a thyroid chondroplastic flap approach to the paraglottic space was designed.
This study is a case series of thirty consecutive patients (24 men and six women with an average age of 45.6 years), having large combined laryngocele resected externally between January 1995 and December 2019) at the department of ORL_HNS Tanta University, Egypt.
This approach allowed for excellent exposure of the paraglottic space, facilitating complete resection. Complications included perichondrial tearing in five patients, obstructing hematoma in two patient and minimal edema in four patients.
Thyroid chondroplastic flap is an excellent and safe approach for the paraglottic space facilitating complete resection of large laryngoceles.
大型联合型喉囊通常需要外部途径。这种方法的一个难点是会在会厌旁间隙进行解剖。为了克服这种困难，设计了一种甲状软骨成形瓣入路到会厌旁间隙的方法。
本研究为连续 30 例患者（24 名男性和 6 名女性，平均年龄 45.6 岁）的病例系列研究，这些患者在 1995 年 1 月至 2019 年 12 月期间在埃及坦塔大学耳鼻喉科接受了外部大型联合型喉囊切除术。
这种方法可以极好地暴露会厌旁间隙，有助于完成完全切除。并发症包括 5 例患者的软骨膜撕裂，2 例患者发生阻塞性血肿，4 例患者出现轻微水肿。
甲状软骨成形瓣是一种很好且安全的会厌旁间隙入路方法，有助于完全切除大型喉囊。
