O'Leary M J, Farrell G
Laryngoscope. 1986 Apr;96(4):356-9.
We present a patient with severe obstructive sleep apnea syndrome (OSAS), including O2 desaturations to 11%, who was successfully managed with myocutaneous fenestration tracheostomy. The myocutaneous fenestration technique employs bilateral horizontal skin-platysma advancement flaps sutured directly to a tracheal fenestra created between rings two to four. It conforms ideally to the unique physical and psychological demands of the sleep apnea patient. Rapid healing time and minimal granulation tissue, combined with a permanently functional, yet reversible and minimally disfigurative stoma, highlight the advantages of the technique over standard tracheostomy. The myocutaneous fenestration tracheostomy is uniquely applicable to the surgical treatment of patients with moderate to severe obstructive sleep apnea.
我们报告了一名患有严重阻塞性睡眠呼吸暂停综合征（OSAS）的患者，其血氧饱和度降至11%，通过肌皮开窗气管造口术成功得到治疗。肌皮开窗技术采用双侧水平皮肤-颈阔肌推进皮瓣，直接缝合至在气管第二至四环之间创建的气管开窗处。它非常符合睡眠呼吸暂停患者独特的生理和心理需求。愈合时间快且肉芽组织极少，再加上永久功能性、可逆且微创的造口，凸显了该技术相对于标准气管造口术的优势。肌皮开窗气管造口术特别适用于中重度阻塞性睡眠呼吸暂停患者的手术治疗。
