Zohar Y, Shvilli I, Laurian N
Department of Otolaryngology, Golda Medical Center, Petah-Tikwa, Israel.
Arch Otolaryngol Head Neck Surg. 1988 Aug;114(8):868-71. doi: 10.1001/archotol.1988.01860200052016.
Reconstruction of the larynx after extended frontal, frontolateral, or subtotal laryngectomy is a challenge to the head and neck surgeon. Over the last 12 years we have used autogenous composite nasoseptal grafts for rehabilitation of the larynx after extended partial laryngectomy in carcinoma invading the anterior commissure of the glottis. The composite graft proved to be an excellent replacement tissue and provided a dependable rigid cartilaginous wall lined by respiratory mucosa. The effectiveness of the procedure in bridging the laryngeal defect was successfully demonstrated in 29 patients. Good functional results were achieved in all of them. In our experience the nasoseptal graft is a safe and reliable single-stage procedure that provides a relatively easy and early laryngeal rehabilitation.
在扩大的额侧、额外侧或次全喉切除术后进行喉重建，对头颈外科医生来说是一项挑战。在过去12年里，我们使用自体鼻中隔复合移植物，对侵犯声门前联合的癌肿行扩大部分喉切除术后的喉部进行修复。复合移植物被证明是一种出色的替代组织，能提供由呼吸道黏膜衬里的可靠刚性软骨壁。该手术在修复喉缺损方面的有效性在29例患者中得到成功证实。所有患者均取得了良好的功能结果。根据我们的经验，鼻中隔移植物是一种安全可靠的单阶段手术，能相对轻松且早期地实现喉部修复。
